eKOK Dokumentacja Integracyjna
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Profil zasobu: PLeKOKServiceRequest - Detailed Descriptions

Active as of 2026-02-16

Definitions for the pl-ekok-service-request profil zasobu.

Guidance on how to interpret the contents of this table can be foundhere

0. ServiceRequest
2. ServiceRequest.id
Definition

Identyfikator logiczny zasobu nadawany przez system w ramach rejestracji zasobu. Przyjmuje wartość: '{liczba naturalna}'

ShortIdentyfikator 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.

4. ServiceRequest.meta
ShortMetadane zasobu
Control1..?
6. ServiceRequest.meta.id
Control0..0
8. ServiceRequest.meta.extension
Control0..0
10. ServiceRequest.meta.versionId
Definition

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

ShortWersja zasobu (wartość ustawiana przez system P1)
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}'.

ShortData aktualizacji zasobu (wartość ustawiana przez system P1)
Comments

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

14. ServiceRequest.meta.source
Definition

Identyfikator źródła zasobu ustawiany przez system.

ShortIdentyfikator źródła zasobu (wartość ustawiana przez system, przy rejestracji lub aktualizacji zasobu)
16. ServiceRequest.meta.profile
Definition

Url profilu wg. którego zasób jest walidowany.

ShortPLeKOKServiceRequest
Control1..1
Fixed Valuehttps://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/pl-ekok-service-request
18. ServiceRequest.meta.tag
Control0..0
20. ServiceRequest.implicitRules
Definition

Wersja systemu ustawiana przez system.

ShortWersja systemu (wartość ustawiana przez system P1)
Comments

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

22. ServiceRequest.language
Pattern Valuepl
24. ServiceRequest.text
Control0..0
26. ServiceRequest.contained
Control0..0
28. ServiceRequest.extension
Control0..0
30. ServiceRequest.modifierExtension
Control0..0
32. ServiceRequest.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..0
34. ServiceRequest.instantiatesCanonical
Control0..0
36. ServiceRequest.instantiatesUri
Control0..0
38. ServiceRequest.basedOn
ShortPlan, którego dotyczy zlecenie. W przypadku zlecenia w ramach planu leczenia należy wskazać referencję do planu leczenia. W przypadku zlecenia w ramach planu obserwacji należy wskazać referencję do karty e-KOK
Control1..1
TypeReference(CarePlan)
40. ServiceRequest.basedOn.id
Control0..0
42. ServiceRequest.basedOn.extension
Control0..0
44. ServiceRequest.basedOn.reference
Definition

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

ShortReferencja do zasobu CarePlan
Control1..?
46. ServiceRequest.basedOn.type
ShortTyp zasobu (CarePlan)
Control1..?
Fixed ValueCarePlan
48. ServiceRequest.basedOn.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..0
50. ServiceRequest.basedOn.display
Control0..0
52. ServiceRequest.replaces
Control0..0
54. ServiceRequest.requisition
Control0..0
56. ServiceRequest.status
Definition

Status zlecenia

Shortactive (Aktywne) | completed (Wykonane) | revoked (Odrzucone) | entered-in-error (Wycofane)
BindingThe codes SHALL be taken from PLeKOKServiceRequestStatusVS
(required to https://ezdrowie.gov.pl/ekok/fhir/ValueSet/pl-ekok-service-request-status-vs)

Status zlecenia

58. ServiceRequest.intent
Short'order'
Fixed Valueorder
60. ServiceRequest.category
ShortKategoria usługi medycznej, której dotyczy zlecenie (typ skierowania)
Control1..1
BindingThe codes SHALL be taken from PLeKOKMedicalServiceCategoryVS
(required to https://ezdrowie.gov.pl/ekok/fhir/ValueSet/pl-ekok-medical-service-category-vs)
62. ServiceRequest.category.id
Control0..0
64. ServiceRequest.category.extension
Control0..0
66. ServiceRequest.category.coding
Control1..1
68. ServiceRequest.category.coding.extension
Control0..0
70. ServiceRequest.category.coding.system
ShortSystem kodowania
Control1..?
72. ServiceRequest.category.coding.version
NoteThis is a business version Id, not a resource version Id (see discussion)
Control0..0
74. ServiceRequest.category.coding.code
ShortKod
Control1..?
76. ServiceRequest.category.coding.display
ShortNazwa
Control1..?
78. ServiceRequest.category.coding.userSelected
Control0..0
80. ServiceRequest.category.text
Control0..0
82. ServiceRequest.priority
Definition

Tryb realizacji

Shorturgent (Pilny) | routine (Stabilny)
Control1..?
BindingThe codes SHALL be taken from RequestPriority
(required to http://hl7.org/fhir/ValueSet/request-priority)
84. ServiceRequest.doNotPerform
Control0..0
86. ServiceRequest.code
ShortKod usługi (ICD-9)
Control1..?
88. ServiceRequest.code.id
Control0..0
90. ServiceRequest.code.extension
Control0..0
92. ServiceRequest.code.coding
ShortTyp zabiegu w systemie kodowania ICD-9
Control1..1
94. ServiceRequest.code.coding.extension
Control0..0
96. ServiceRequest.code.coding.system
Shorturn:oid:2.16.840.1.113883.3.4424.11.2.6
Control1..?
Fixed Valueurn:oid:2.16.840.1.113883.3.4424.11.2.6
98. ServiceRequest.code.coding.version
NoteThis is a business version Id, not a resource version Id (see discussion)
Control0..0
100. ServiceRequest.code.coding.code
ShortKod
Control1..?
102. ServiceRequest.code.coding.display
ShortNazwa
Control1..?
104. ServiceRequest.code.coding.userSelected
Control0..0
106. ServiceRequest.code.text
Control0..0
108. ServiceRequest.orderDetail
ShortInne informacje lub dane, w zakresie niezbędnym do przeprowadzenia badania, konsultacji lub leczenia
Control0..1
110. ServiceRequest.orderDetail.id
Control0..0
112. ServiceRequest.orderDetail.extension
Control0..0
114. ServiceRequest.orderDetail.coding
Control0..0
116. ServiceRequest.orderDetail.text
ShortTreść informacji
Control1..?
118. ServiceRequest.quantity[x]
Control0..0
120. ServiceRequest.subject
ShortDane pacjenta
TypeReference(Patient)
122. ServiceRequest.subject.id
Control0..0
124. ServiceRequest.subject.extension
Control0..0
126. 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.

ShortReferencja do zasobu Patient
Control1..?
128. ServiceRequest.subject.type
Definition

Typ zasobu z danymi pacjenta. Przyjmuje wartość: Patient.

ShortTyp zasobu z danymi pacjenta (Patient)
Control1..?
Fixed ValuePatient
130. ServiceRequest.subject.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..0
132. ServiceRequest.subject.display
Control0..0
134. ServiceRequest.encounter
ShortReferencja do zasobu z danymi świadczenia (PLeKOKEncounter), w ramach którego wystawiono zalecenie
Control1..?
136. ServiceRequest.encounter.id
Control0..0
138. ServiceRequest.encounter.extension
Control0..0
140. ServiceRequest.encounter.reference
Definition

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

ShortReferencja do zasobu Encounter
Control1..?
142. ServiceRequest.encounter.type
ShortTyp zasobu (Encounter)
Control1..?
Fixed ValueEncounter
144. ServiceRequest.encounter.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..0
146. ServiceRequest.encounter.display
Control0..0
148. ServiceRequest.occurrence[x]
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
SlicingThis element introduces a set of slices on ServiceRequest.occurrence[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • type @ $this
  • 150. ServiceRequest.occurrence[x]:occurrenceDateTime
    Slice NameoccurrenceDateTime
    Control0..0
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    152. ServiceRequest.occurrence[x]:occurrencePeriod
    Slice NameoccurrencePeriod
    Control0..0
    TypePeriod
    154. ServiceRequest.occurrence[x]:occurrenceTiming
    Slice NameoccurrenceTiming
    ShortInformacje dotyczące terminu realizacji zlecenia
    Control0..1
    TypeTiming
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    156. ServiceRequest.occurrence[x]:occurrenceTiming.id
    Control0..0
    158. ServiceRequest.occurrence[x]:occurrenceTiming.extension
    Control0..0
    160. ServiceRequest.occurrence[x]:occurrenceTiming.modifierExtension
    Control0..0
    162. ServiceRequest.occurrence[x]:occurrenceTiming.event
    Control0..0
    164. ServiceRequest.occurrence[x]:occurrenceTiming.repeat
    Control1..?
    166. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    SlicingThis element introduces a set of slices on ServiceRequest.occurrence[x].repeat.bounds[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • type @ $this
    • 168. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration
      Slice NameboundsDuration
      ShortOkres ważności zlecenia
      Control0..1
      TypeDuration
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      170. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.id
      Control0..0
      172. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.extension
      Control0..0
      174. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.value
      ShortIlość
      Control1..?
      176. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.comparator
      Control0..0
      178. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.unit
      ShortJednostka czasu dla okresu: s | min | h | d | wk | mo | a
      Control1..?
      BindingThe codes SHALL be taken from UnitsOfTime
      (required to http://hl7.org/fhir/ValueSet/units-of-time)
      180. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.system
      Control0..0
      182. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.code
      Control0..0
      184. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.count
      ShortIlość usług do realizacji w trakcie okresu ważności zlecenia. W przypadku skierowania na jednorazową usługę należy wskazać '1'
      186. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.countMax
      Control0..0
      188. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.duration
      Control0..0
      190. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.durationMax
      Control0..0
      192. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.durationUnit
      Control0..0
      194. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.frequency
      ShortCzęstotliwość realizacji usług w danym okresie cyklu (period)
      196. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.frequencyMax
      Control0..0
      198. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.period
      ShortOkres jednego cyklu
      200. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.periodMax
      Control0..0
      202. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.periodUnit
      ShortJednostka czasu dla okresu cyklu: s | min | h | d | wk | mo | a
      204. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.dayOfWeek
      Control0..0
      206. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.timeOfDay
      Control0..0
      208. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.when
      Control0..0
      210. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.offset
      Control0..0
      212. ServiceRequest.occurrence[x]:occurrenceTiming.code
      Control0..0
      214. ServiceRequest.asNeeded[x]
      Control0..0
      216. ServiceRequest.authoredOn
      ShortData utworzenia zlecenia
      Control1..?
      218. ServiceRequest.requester
      ShortZlecający
      Control1..?
      TypeReference(Practitioner)
      220. ServiceRequest.requester.id
      Control0..0
      222. ServiceRequest.requester.extension
      Control0..0
      224. ServiceRequest.requester.reference
      Control0..0
      226. ServiceRequest.requester.type
      Control0..0
      228. ServiceRequest.requester.identifier
      ShortIdentyfikator pracownika medycznego
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control1..?
      230. ServiceRequest.requester.identifier.id
      Control0..0
      232. ServiceRequest.requester.identifier.extension
      Control0..0
      234. ServiceRequest.requester.identifier.use
      Control0..0
      236. ServiceRequest.requester.identifier.type
      Control0..0
      238. ServiceRequest.requester.identifier.system
      ShortSystem identyfikacji pracowników medycznych
      Control1..?
      240. ServiceRequest.requester.identifier.value
      ShortIdentyfikator pracownika medycznego
      Control1..?
      242. ServiceRequest.requester.identifier.period
      Control0..0
      244. ServiceRequest.requester.identifier.assigner
      Control0..0
      246. ServiceRequest.requester.display
      Control1..?
      248. ServiceRequest.requester.display.id
      Control0..0
      250. ServiceRequest.requester.display.extension
      Control2..?
      SlicingThis 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
      • 252. ServiceRequest.requester.display.extension:familyName
        Slice NamefamilyName
        Definition

        Nazwisko pracownika medycznego.

        ShortNazwisko
        Control1..1
        TypeExtension(ReferenceDisplayFamilyName) (Extension Type: string)
        254. ServiceRequest.requester.display.extension:familyName.id
        Control0..0
        256. ServiceRequest.requester.display.extension:familyName.value[x]
        Definition

        Nazwisko pracownika medycznego

        ShortNazwisko
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        258. ServiceRequest.requester.display.extension:givenName
        Slice NamegivenName
        Definition

        Imiona pracownika medycznego.

        ShortImiona
        Control1..*
        TypeExtension(ReferenceDisplayGivenName) (Extension Type: string)
        260. ServiceRequest.requester.display.extension:givenName.id
        Control0..0
        262. ServiceRequest.requester.display.extension:givenName.value[x]
        Definition

        pracownika medycznego.

        ShortImię
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        264. ServiceRequest.requester.display.value
        Control0..0
        266. ServiceRequest.performerType
        ShortSpecjalizacja lekarza, której dotyczy zlecenie
        Control1..?
        268. ServiceRequest.performerType.id
        Control0..0
        270. ServiceRequest.performerType.extension
        Control0..0
        272. ServiceRequest.performerType.coding
        ShortSpecjalizacja lekarza, której dotyczy zlecenie
        Control1..1
        274. ServiceRequest.performerType.coding.extension
        Control0..0
        276. ServiceRequest.performerType.coding.system
        ShortSystem kodowania
        Control1..?
        Pattern Valuehttp://snomed.info/sct
        278. ServiceRequest.performerType.coding.version
        NoteThis is a business version Id, not a resource version Id (see discussion)
        Control0..0
        280. ServiceRequest.performerType.coding.code
        ShortKod wskazujący specjalizację lekarza. Przyjmuje wartość ze słownika SNOMED CT z grupy o SCTID = 223366009 (Healthcare professional).
        Control1..?
        282. ServiceRequest.performerType.coding.display
        ShortNazwa
        Control1..?
        284. ServiceRequest.performerType.coding.userSelected
        Control0..0
        286. ServiceRequest.performerType.text
        Control0..0
        288. ServiceRequest.performer
        Control0..0
        290. ServiceRequest.locationCode
        Control0..0
        292. ServiceRequest.locationReference
        Control1..1
        294. ServiceRequest.locationReference.id
        Control0..0
        296. ServiceRequest.locationReference.extension
        Control0..0
        298. ServiceRequest.locationReference.reference
        Control0..0
        300. ServiceRequest.locationReference.type
        Control0..0
        302. ServiceRequest.locationReference.identifier
        Definition

        Identyfikator miejsce udzielenia świadczenia.

        ShortIdentyfikator miejsce udzielenia świadczenia
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control1..?
        304. ServiceRequest.locationReference.identifier.id
        Control0..0
        306. ServiceRequest.locationReference.identifier.extension
        Control0..0
        308. ServiceRequest.locationReference.identifier.use
        Control0..0
        310. ServiceRequest.locationReference.identifier.type
        Control0..0
        312. ServiceRequest.locationReference.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”.

        ShortOID systemu identyfikacji Miejsca Udzielania Świadczeń
        Control1..?
        314. ServiceRequest.locationReference.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}” .

        ShortIdentyfikator Miejsca Udzielania Świadczeń
        Control1..?
        316. ServiceRequest.locationReference.identifier.period
        Control0..0
        318. ServiceRequest.locationReference.identifier.assigner
        Control0..0
        320. ServiceRequest.locationReference.display
        Definition

        Nazwa Miejsca Udzielania Świadczeń

        ShortNazwa Miejsca Udzielania Świadczeń
        Control1..?
        322. ServiceRequest.reasonCode
        Control0..0
        324. ServiceRequest.reasonReference
        Control0..0
        326. ServiceRequest.insurance
        Control0..0
        328. ServiceRequest.supportingInfo
        Control0..0
        330. ServiceRequest.specimen
        Control0..0
        332. ServiceRequest.bodySite
        Control0..0
        334. ServiceRequest.note
        Control0..0
        336. ServiceRequest.patientInstruction
        ShortInstrukcje dla pacjenta
        338. ServiceRequest.relevantHistory
        Control0..0

        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.

        ShortA request for a service to be performed
        Control0..*
        Is Modifierfalse
        Summaryfalse
        Alternate Namesdiagnostic request, referral, referral request, transfer of care request
        Invariantsdom-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())
        prr-1: orderDetail SHALL only be present if code is present (orderDetail.empty() or code.exists())
        2. ServiceRequest.id
        Definition

        Identyfikator logiczny zasobu nadawany przez system w ramach rejestracji zasobu. Przyjmuje wartość: '{liczba naturalna}'


        The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

        ShortIdentyfikator logiczny zasobu (wartość nadawana przez system P1)Logical id of this artifact
        Comments

        Nadany identyfikator nie podlega aktualizacji. W ramach aktualizacji zasobu należy wskazać wartość identyfikatora zasobu, którego dotyczy aktualizacja.


        The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

        Control0..1
        Typeidstring
        Is Modifierfalse
        Summarytrue
        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.

        ShortMetadane zasobuMetadata about the resource
        Control10..1
        TypeMeta
        Is Modifierfalse
        Summarytrue
        Invariantsele-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.

        ShortUnique id for inter-element referencing
        Control0..01
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        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.

        ShortExtensionAdditional 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.

        Control0..0*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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())
        SlicingThis 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.

          ShortWersja 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.

          Control0..1
          Typeid
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-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.

          ShortData 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.

          Control0..1
          Typeinstant
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-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.

          ShortIdentyfikator 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.

          Control0..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-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.

          ShortPLeKOKServiceRequestProfiles 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.

          Control10..1*
          Typecanonical(StructureDefinition)
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Fixed Valuehttps://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/pl-ekok-service-request
          Invariantsele-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.

          ShortTags 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.

          Control0..0*
          BindingFor 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".

          TypeCoding
          Is Modifierfalse
          Summarytrue
          Invariantsele-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.

          ShortWersja 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.

          Control0..1
          Typeuri
          Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-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.

          ShortLanguage 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).

          Control0..1
          BindingThe 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 BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Pattern Valuepl
          Invariantsele-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.

          ShortText 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.

          Control0..01
          TypeNarrative
          Is Modifierfalse
          Summaryfalse
          Alternate Namesnarrative, html, xhtml, display
          Invariantsele-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.

          ShortContained, 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.

          Control0..0*
          TypeResource
          Is Modifierfalse
          Summaryfalse
          Alternate Namesinline 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.

          ShortExtensionAdditional 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.

          Control0..0*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-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())
          30. 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).

          ShortExtensionExtensions that cannot be ignored
          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.

          Control0..0*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
          Summaryfalse
          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 Namesextensions, user content
          Invariantsele-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())
          32. ServiceRequest.identifier
          Definition

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

          ShortIdentifiers 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.

          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..0*
          TypeIdentifier
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          34. 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.

          ShortInstantiates 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.

          Control0..0*
          Typecanonical(ActivityDefinition, PlanDefinition)
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          36. 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.

          ShortInstantiates external protocol or definition
          Comments

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

          Control0..0*
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          38. ServiceRequest.basedOn
          Definition

          Plan/proposal/order fulfilled by this request.

          ShortPlan, którego dotyczy zlecenie. W przypadku zlecenia w ramach planu leczenia należy wskazać referencję do planu leczenia. W przypadku zlecenia w ramach planu obserwacji należy wskazać referencję do karty e-KOKWhat request fulfills
          Control10..1*
          TypeReference(CarePlan, CarePlan, ServiceRequest, MedicationRequest)
          Is Modifierfalse
          Summarytrue
          Alternate Namesfulfills
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          40. 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.

          ShortUnique id for inter-element referencing
          Control0..01
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          42. ServiceRequest.basedOn.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.

          ShortExtensionAdditional 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.

          Control0..0*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-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())
          SlicingThis 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
          • 44. ServiceRequest.basedOn.reference
            Definition

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


            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.

            ShortReferencja do zasobu CarePlanLiteral 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.

            Control10..1
            This element is affected by the following invariants: ref-1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            46. 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.

            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).

            ShortTyp zasobu (CarePlan)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.

            Control10..1
            BindingUnless 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).

            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Fixed ValueCarePlan
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            48. ServiceRequest.basedOn.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.

            ShortLogical 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).

            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..01
            TypeIdentifier
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            50. ServiceRequest.basedOn.display
            Definition

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

            ShortText 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.

            Control0..01
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            52. ServiceRequest.replaces
            Definition

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

            ShortWhat request replaces
            Control0..0*
            TypeReference(ServiceRequest)
            Is Modifierfalse
            Summarytrue
            Alternate Namessupersedes, prior, renewed order
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            54. 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.

            ShortComposite 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.

            Control0..01
            TypeIdentifier
            Is Modifierfalse
            Summarytrue
            Requirements

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

            Alternate NamesgrouperId, groupIdentifier
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            56. ServiceRequest.status
            Definition

            Status zlecenia


            The status of the order.

            Shortactive (Aktywne) | completed (Wykonane) | revoked (Odrzucone) | entered-in-error (Wycofane)draft | active | on-hold | revoked | completed | entered-in-error | unknown
            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.


            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.

            Control1..1
            BindingThe codes SHALL be taken from PLeKOKServiceRequestStatusVShttp://hl7.org/fhir/ValueSet/request-status|4.0.1
            (required to https://ezdrowie.gov.pl/ekok/fhir/ValueSet/pl-ekok-service-request-status-vs)

            Status zlecenia


            The status of a service order.

            Typecode
            Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            58. ServiceRequest.intent
            Definition

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

            Short'order'proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
            Comments

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

            Control1..1
            BindingThe 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.

            Typecode
            Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Fixed Valueorder
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            60. ServiceRequest.category
            Definition

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

            ShortKategoria usługi medycznej, której dotyczy zlecenie (typ skierowania)Classification 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.

            Control10..1*
            BindingThe codes SHALL be taken from For example codes, see PLeKOKMedicalServiceCategoryVShttp://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1
            (required to https://ezdrowie.gov.pl/ekok/fhir/ValueSet/pl-ekok-medical-service-category-vs)
            TypeCodeableConcept
            Is Modifierfalse
            Summarytrue
            Requirements

            Used for filtering what service request are retrieved and displayed.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            62. 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.

            ShortUnique id for inter-element referencing
            Control0..01
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            64. ServiceRequest.category.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.

            ShortExtensionAdditional 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.

            Control0..0*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-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())
            SlicingThis 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
            • 66. ServiceRequest.category.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode 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.

              Control10..1*
              TypeCoding
              Is Modifierfalse
              Summarytrue
              Requirements

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

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              68. ServiceRequest.category.coding.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.

              ShortExtensionAdditional 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.

              Control0..0*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-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())
              SlicingThis 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
              • 70. ServiceRequest.category.coding.system
                Definition

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

                ShortSystem 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.

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

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

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                72. 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.

                ShortVersion 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.

                NoteThis is a business version Id, not a resource version Id (see discussion)
                Control0..01
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                74. 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).

                ShortKodSymbol in syntax defined by the system
                Control10..1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                76. ServiceRequest.category.coding.display
                Definition

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

                ShortNazwaRepresentation defined by the system
                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

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

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                78. 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).

                ShortIf 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.

                Control0..01
                Typeboolean
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                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.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                80. 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.

                ShortPlain text representation of the concept
                Comments

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

                Control0..01
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                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.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                82. ServiceRequest.priority
                Definition

                Tryb realizacji


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

                Shorturgent (Pilny) | routine (Stabilny)routine | urgent | asap | stat
                Control10..1
                BindingThe codes SHALL be taken from RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1
                (required to http://hl7.org/fhir/ValueSet/request-priority)
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Meaning if MissingIf missing, this task should be performed with normal priority
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                84. ServiceRequest.doNotPerform
                Definition

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

                ShortTrue 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.

                Control0..01
                Typeboolean
                Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                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 MissingIf missing, the request is a positive request e.g. "do perform"
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                86. ServiceRequest.code
                Definition

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

                ShortKod usługi (ICD-9)What 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.

                Control10..1
                BindingFor example codes, see ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-code|4.0.1
                (example to http://hl7.org/fhir/ValueSet/procedure-code|4.0.1)

                Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.

                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Alternate Namesservice requested
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                88. 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.

                ShortUnique id for inter-element referencing
                Control0..01
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                90. ServiceRequest.code.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.

                ShortExtensionAdditional 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.

                Control0..0*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-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())
                SlicingThis 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
                • 92. ServiceRequest.code.coding
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortTyp zabiegu w systemie kodowania ICD-9Code 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.

                  Control10..1*
                  TypeCoding
                  Is Modifierfalse
                  Summarytrue
                  Requirements

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

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  94. ServiceRequest.code.coding.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.

                  ShortExtensionAdditional 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.

                  Control0..0*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-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())
                  SlicingThis 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
                  • 96. ServiceRequest.code.coding.system
                    Definition

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

                    Shorturn:oid:2.16.840.1.113883.3.4424.11.2.6Identity 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.

                    Control10..1
                    Typeuri
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

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

                    Fixed Valueurn:oid:2.16.840.1.113883.3.4424.11.2.6
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    98. ServiceRequest.code.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.

                    ShortVersion 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.

                    NoteThis is a business version Id, not a resource version Id (see discussion)
                    Control0..01
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    100. 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).

                    ShortKodSymbol in syntax defined by the system
                    Control10..1
                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    Need to refer to a particular code in the system.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    102. ServiceRequest.code.coding.display
                    Definition

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

                    ShortNazwaRepresentation defined by the system
                    Control10..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

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

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    104. 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).

                    ShortIf 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.

                    Control0..01
                    Typeboolean
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    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.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    106. 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.

                    ShortPlain text representation of the concept
                    Comments

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

                    Control0..01
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    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.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    108. 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.

                    ShortInne informacje lub dane, w zakresie niezbędnym do przeprowadzenia badania, konsultacji lub leczeniaAdditional order information
                    Comments

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

                    Control0..1*
                    This element is affected by the following invariants: prr-1
                    BindingFor 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.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Summarytrue
                    Alternate Namesdetailed instructions
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    110. 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.

                    ShortUnique id for inter-element referencing
                    Control0..01
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    112. ServiceRequest.orderDetail.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.

                    ShortExtensionAdditional 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.

                    Control0..0*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-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())
                    SlicingThis 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
                    • 114. ServiceRequest.orderDetail.coding
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode 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.

                      Control0..0*
                      TypeCoding
                      Is Modifierfalse
                      Summarytrue
                      Requirements

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

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      116. 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.

                      ShortTreść informacjiPlain text representation of the concept
                      Comments

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

                      Control10..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      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.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      118. 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).

                      ShortService amount
                      Control0..01
                      TypeChoice of: Quantity, Ratio, Range
                      Is Modifierfalse
                      Summarytrue
                      Requirements

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

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      120. 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).

                      ShortDane pacjentaIndividual or Entity the service is ordered for
                      Control1..1
                      TypeReference(Patient, Patient, Group, Location, Device)
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      122. 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.

                      ShortUnique id for inter-element referencing
                      Control0..01
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      124. ServiceRequest.subject.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.

                      ShortExtensionAdditional 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.

                      Control0..0*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-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())
                      SlicingThis 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
                      • 126. 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.


                        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.

                        ShortReferencja do zasobu PatientLiteral 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.

                        Control10..1
                        This element is affected by the following invariants: ref-1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        128. 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.

                        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).

                        ShortTyp zasobu z danymi pacjenta (Patient)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.

                        Control10..1
                        BindingUnless 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).

                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Fixed ValuePatient
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        130. ServiceRequest.subject.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.

                        ShortLogical 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).

                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Control0..01
                        TypeIdentifier
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        132. ServiceRequest.subject.display
                        Definition

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

                        ShortText 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.

                        Control0..01
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        134. ServiceRequest.encounter
                        Definition

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

                        ShortReferencja do zasobu z danymi świadczenia (PLeKOKEncounter), w ramach którego wystawiono zalecenieEncounter in which the request was created
                        Control10..1
                        TypeReference(Encounter)
                        Is Modifierfalse
                        Summarytrue
                        Alternate Namescontext
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        136. 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.

                        ShortUnique id for inter-element referencing
                        Control0..01
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        138. ServiceRequest.encounter.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.

                        ShortExtensionAdditional 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.

                        Control0..0*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-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())
                        SlicingThis 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
                        • 140. ServiceRequest.encounter.reference
                          Definition

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


                          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.

                          ShortReferencja do zasobu EncounterLiteral 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.

                          Control10..1
                          This element is affected by the following invariants: ref-1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          142. ServiceRequest.encounter.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).

                          ShortTyp zasobu (Encounter)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.

                          Control10..1
                          BindingUnless 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).

                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Fixed ValueEncounter
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          144. ServiceRequest.encounter.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.

                          ShortLogical 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).

                          NoteThis is a business identifier, not a resource identifier (see discussion)
                          Control0..01
                          TypeIdentifier
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          146. ServiceRequest.encounter.display
                          Definition

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

                          ShortText 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.

                          Control0..01
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          148. ServiceRequest.occurrence[x]
                          Definition

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

                          ShortWhen service should occur
                          Control0..1
                          TypeTiming, dateTime, Period
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Is Modifierfalse
                          Summarytrue
                          Alternate Namesschedule
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          SlicingThis element introduces a set of slices on ServiceRequest.occurrence[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                          • type @ $this
                          • 150. ServiceRequest.occurrence[x]:occurrenceDateTime
                            Slice NameoccurrenceDateTime
                            Definition

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

                            ShortWhen service should occur
                            Control0..01
                            TypedateTime, Period, Timing
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Alternate Namesschedule
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            152. ServiceRequest.occurrence[x]:occurrencePeriod
                            Slice NameoccurrencePeriod
                            Definition

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

                            ShortWhen service should occur
                            Control0..01
                            TypePeriod, dateTime, Timing
                            Is Modifierfalse
                            Summarytrue
                            Alternate Namesschedule
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            154. ServiceRequest.occurrence[x]:occurrenceTiming
                            Slice NameoccurrenceTiming
                            Definition

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

                            ShortInformacje dotyczące terminu realizacji zleceniaWhen service should occur
                            Control0..1
                            TypeTiming, dateTime, Period
                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                            Is Modifierfalse
                            Summarytrue
                            Alternate Namesschedule
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            156. ServiceRequest.occurrence[x]:occurrenceTiming.id
                            Definition

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

                            ShortUnique id for inter-element referencing
                            Control0..01
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            158. ServiceRequest.occurrence[x]:occurrenceTiming.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.

                            ShortExtensionAdditional 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.

                            Control0..0*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-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())
                            SlicingThis element introduces a set of slices on ServiceRequest.occurrence[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 160. ServiceRequest.occurrence[x]:occurrenceTiming.modifierExtension
                              Definition

                              An Extension


                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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).

                              ShortExtensionExtensions that cannot be ignored even if unrecognized
                              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.

                              Control0..0*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              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 Namesextensions, user content, modifiers
                              Invariantsele-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())
                              162. ServiceRequest.occurrence[x]:occurrenceTiming.event
                              Definition

                              Identifies specific times when the event occurs.

                              ShortWhen the event occurs
                              Control0..0*
                              TypedateTime
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              164. ServiceRequest.occurrence[x]:occurrenceTiming.repeat
                              Definition

                              A set of rules that describe when the event is scheduled.

                              ShortWhen the event is to occur
                              Control10..1
                              TypeElement
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              Many timing schedules are determined by regular repetitions.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists())
                              tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists())
                              tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0)
                              tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0)
                              tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists())
                              tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists())
                              tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists())
                              tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())))
                              tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty())
                              tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists())
                              tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists())
                              tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0)
                              tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0)
                              tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists())
                              tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists())
                              tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists())
                              tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())))
                              tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty())
                              166. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]
                              Definition

                              Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.

                              ShortLength/Range of lengths, or (Start and/or end) limits
                              Control0..1
                              TypeChoice of: Duration, Range, Period
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              SlicingThis element introduces a set of slices on ServiceRequest.occurrence[x].repeat.bounds[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • type @ $this
                              • 168. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration
                                Slice NameboundsDuration
                                Definition

                                Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.

                                ShortOkres ważności zleceniaLength/Range of lengths, or (Start and/or end) limits
                                Control0..1
                                TypeDuration, Period, Range
                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                170. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.id
                                Definition

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

                                ShortUnique id for inter-element referencing
                                Control0..01
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                172. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.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.

                                ShortExtensionAdditional 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.

                                Control0..0*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-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())
                                SlicingThis element introduces a set of slices on ServiceRequest.occurrence[x].repeat.bounds[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 174. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.value
                                  Definition

                                  The value of the measured amount. The value includes an implicit precision in the presentation of the value.

                                  ShortIlośćNumerical value (with implicit precision)
                                  Comments

                                  The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

                                  Control10..1
                                  Typedecimal
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Precision is handled implicitly in almost all cases of measurement.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  176. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.comparator
                                  Definition

                                  How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.

                                  Short< | <= | >= | > - how to understand the value
                                  Control0..01
                                  BindingThe codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
                                  (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

                                  How the Quantity should be understood and represented.

                                  Typecode
                                  Is Modifiertrue because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

                                  Meaning if MissingIf there is no comparator, then there is no modification of the value
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  178. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.unit
                                  Definition

                                  A human-readable form of the unit.

                                  ShortJednostka czasu dla okresu: s | min | h | d | wk | mo | aUnit representation
                                  Control10..1
                                  BindingThe codes SHALL be taken from For codes, see UnitsOfTime
                                  (required to http://hl7.org/fhir/ValueSet/units-of-time)
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  180. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.system
                                  Definition

                                  The identification of the system that provides the coded form of the unit.

                                  ShortSystem that defines coded unit form
                                  Control0..01
                                  This element is affected by the following invariants: qty-3
                                  Typeuri
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Need to know the system that defines the coded form of the unit.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  182. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.code
                                  Definition

                                  A computer processable form of the unit in some unit representation system.

                                  ShortCoded form of the unit
                                  Comments

                                  The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

                                  Control0..01
                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  184. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.count
                                  Definition

                                  A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values.

                                  ShortIlość usług do realizacji w trakcie okresu ważności zlecenia. W przypadku skierowania na jednorazową usługę należy wskazać '1'Number of times to repeat
                                  Comments

                                  If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.

                                  Control0..1
                                  TypepositiveInt
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Repetitions may be limited by end time or total occurrences.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  186. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.countMax
                                  Definition

                                  If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times.

                                  ShortMaximum number of times to repeat
                                  Control0..01
                                  TypepositiveInt
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  188. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.duration
                                  Definition

                                  How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration.

                                  ShortHow long when it happens
                                  Comments

                                  For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).

                                  Control0..01
                                  Typedecimal
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Some activities are not instantaneous and need to be maintained for a period of time.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  190. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.durationMax
                                  Definition

                                  If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length.

                                  ShortHow long when it happens (Max)
                                  Comments

                                  For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).

                                  Control0..01
                                  Typedecimal
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Some activities are not instantaneous and need to be maintained for a period of time.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  192. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.durationUnit
                                  Definition

                                  The units of time for the duration, in UCUM units.

                                  Shorts | min | h | d | wk | mo | a - unit of time (UCUM)
                                  Control0..01
                                  BindingThe codes SHALL be taken from UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1
                                  (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

                                  A unit of time (units from UCUM).

                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  194. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.frequency
                                  Definition

                                  The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency.

                                  ShortCzęstotliwość realizacji usług w danym okresie cyklu (period)Event occurs frequency times per period
                                  Control0..1
                                  TypepositiveInt
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Meaning if MissingIf no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  196. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.frequencyMax
                                  Definition

                                  If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range.

                                  ShortEvent occurs up to frequencyMax times per period
                                  Control0..01
                                  TypepositiveInt
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  198. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.period
                                  Definition

                                  Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length.

                                  ShortOkres jednego cykluEvent occurs frequency times per period
                                  Control0..1
                                  Typedecimal
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  200. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.periodMax
                                  Definition

                                  If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days.

                                  ShortUpper limit of period (3-4 hours)
                                  Control0..01
                                  Typedecimal
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  202. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.periodUnit
                                  Definition

                                  The units of time for the period in UCUM units.

                                  ShortJednostka czasu dla okresu cyklu: s | min | h | d | wk | mo | as | min | h | d | wk | mo | a - unit of time (UCUM)
                                  Control0..1
                                  BindingThe codes SHALL be taken from UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1
                                  (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

                                  A unit of time (units from UCUM).

                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  204. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.dayOfWeek
                                  Definition

                                  If one or more days of week is provided, then the action happens only on the specified day(s).

                                  Shortmon | tue | wed | thu | fri | sat | sun
                                  Comments

                                  If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.

                                  Control0..0*
                                  BindingThe codes SHALL be taken from DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1
                                  (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)
                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  206. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.timeOfDay
                                  Definition

                                  Specified time of day for action to take place.

                                  ShortTime of day for action
                                  Comments

                                  When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.

                                  Control0..0*
                                  Typetime
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  208. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.when
                                  Definition

                                  An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur.

                                  ShortCode for time period of occurrence
                                  Comments

                                  When more than one event is listed, the event is tied to the union of the specified events.

                                  Control0..0*
                                  BindingThe codes SHALL be taken from EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1
                                  (required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1)

                                  Real world event relating to the schedule.

                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Timings are frequently determined by occurrences such as waking, eating and sleep.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  210. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.offset
                                  Definition

                                  The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.

                                  ShortMinutes from event (before or after)
                                  Control0..01
                                  TypeunsignedInt
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  212. ServiceRequest.occurrence[x]:occurrenceTiming.code
                                  Definition

                                  A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).

                                  ShortBID | TID | QID | AM | PM | QD | QOD | +
                                  Comments

                                  BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).

                                  Control0..01
                                  BindingThe codes SHOULD be taken from TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation|4.0.1
                                  (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation|4.0.1)

                                  Code for a known / defined timing pattern.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  214. 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.

                                  ShortPreconditions for service
                                  Control0..01
                                  BindingFor 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.

                                  TypeChoice of: boolean, CodeableConcept
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  216. ServiceRequest.authoredOn
                                  Definition

                                  When the request transitioned to being actionable.

                                  ShortData utworzenia zleceniaDate request signed
                                  Control10..1
                                  TypedateTime
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Alternate NamesorderedOn
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  218. ServiceRequest.requester
                                  Definition

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

                                  ShortZlecającyWho/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.

                                  Control10..1
                                  TypeReference(Practitioner, Practitioner, PractitionerRole, Organization, Patient, RelatedPerson, Device)
                                  Is Modifierfalse
                                  Summarytrue
                                  Alternate Namesauthor, orderer
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  220. 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.

                                  ShortUnique id for inter-element referencing
                                  Control0..01
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  222. ServiceRequest.requester.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.

                                  ShortExtensionAdditional 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.

                                  Control0..0*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-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())
                                  SlicingThis 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
                                  • 224. ServiceRequest.requester.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.

                                    ShortLiteral 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.

                                    Control0..01
                                    This element is affected by the following invariants: ref-1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    226. 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.

                                    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).

                                    ShortType 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.

                                    Control0..01
                                    BindingUnless 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).

                                    Typeuri
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    228. ServiceRequest.requester.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.

                                    ShortIdentyfikator 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).

                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                    Control10..1
                                    TypeIdentifier
                                    Is Modifierfalse
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    230. 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.

                                    ShortUnique id for inter-element referencing
                                    Control0..01
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    232. ServiceRequest.requester.identifier.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.

                                    ShortExtensionAdditional 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.

                                    Control0..0*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-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())
                                    SlicingThis 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
                                    • 234. ServiceRequest.requester.identifier.use
                                      Definition

                                      The purpose of this identifier.

                                      Shortusual | official | temp | secondary | old (If known)
                                      Comments

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

                                      Control0..01
                                      BindingThe 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 .

                                      Typecode
                                      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

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

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      236. 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.

                                      ShortDescription 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.

                                      Control0..01
                                      BindingUnless 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.

                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Summarytrue
                                      Requirements

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

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      238. ServiceRequest.requester.identifier.system
                                      Definition

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

                                      ShortSystem identyfikacji pracowników medycznychThe namespace for the identifier value
                                      Comments

                                      Identifier.system is always case sensitive.

                                      Control10..1
                                      Typeuri
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      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.

                                      ExampleGeneral: http://www.acme.com/identifiers/patient
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      240. 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.

                                      ShortIdentyfikator 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.

                                      Control10..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      ExampleGeneral: 123456
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      242. ServiceRequest.requester.identifier.period
                                      Definition

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

                                      ShortTime period when id is/was valid for use
                                      Control0..01
                                      TypePeriod
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      244. ServiceRequest.requester.identifier.assigner
                                      Definition

                                      Organization that issued/manages the identifier.

                                      ShortOrganization 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.

                                      Control0..01
                                      TypeReference(Organization)
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      246. ServiceRequest.requester.display
                                      Definition

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

                                      ShortText 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.

                                      Control10..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      248. 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.

                                      Shortxml:id (or equivalent in JSON)Unique id for inter-element referencing
                                      Control0..01
                                      Typestring
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      250. ServiceRequest.requester.display.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.

                                      ShortExtensionAdditional 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.

                                      Control20..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-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())
                                      SlicingThis 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
                                      • 252. ServiceRequest.requester.display.extension:familyName
                                        Slice NamefamilyName
                                        Definition

                                        Nazwisko pracownika medycznego.

                                        ShortNazwisko
                                        Control1..1
                                        This element is affected by the following invariants: ele-1
                                        TypeExtension(ReferenceDisplayFamilyName) (Extension Type: string)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-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())
                                        254. 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.

                                        ShortUnique id for inter-element referencing
                                        Control0..01
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        256. ServiceRequest.requester.display.extension:familyName.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.

                                        ShortExtensionAdditional 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.

                                        Control0..0*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-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())
                                        SlicingThis 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
                                        • 258. ServiceRequest.requester.display.extension:familyName.url
                                          Definition

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

                                          Shortidentifies 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.

                                          Control1..1
                                          Typeuri
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          Fixed Valuehttps://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/reference-display-family-name
                                          260. 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).

                                          ShortNazwiskoValue of extension
                                          Control10..1
                                          Typestring, 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] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          262. ServiceRequest.requester.display.extension:givenName
                                          Slice NamegivenName
                                          Definition

                                          Imiona pracownika medycznego.

                                          ShortImiona
                                          Control1..*
                                          This element is affected by the following invariants: ele-1
                                          TypeExtension(ReferenceDisplayGivenName) (Extension Type: string)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-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())
                                          264. 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.

                                          ShortUnique id for inter-element referencing
                                          Control0..01
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          266. ServiceRequest.requester.display.extension:givenName.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.

                                          ShortExtensionAdditional 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.

                                          Control0..0*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Alternate Namesextensions, user content
                                          Invariantsele-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())
                                          SlicingThis 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
                                          • 268. ServiceRequest.requester.display.extension:givenName.url
                                            Definition

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

                                            Shortidentifies 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.

                                            Control1..1
                                            Typeuri
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            Fixed Valuehttps://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/reference-display-given-name
                                            270. 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).

                                            ShortImięValue of extension
                                            Control10..1
                                            Typestring, 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] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            272. ServiceRequest.requester.display.value
                                            Definition

                                            The actual value

                                            ShortPrimitive value for string
                                            Control0..01
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            Max Length:1048576
                                            274. ServiceRequest.performerType
                                            Definition

                                            Desired type of performer for doing the requested service.

                                            ShortSpecjalizacja lekarza, której dotyczy zleceniePerformer 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”.

                                            Control10..1
                                            BindingFor example codes, see ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-role|4.0.1
                                            (example to http://hl7.org/fhir/ValueSet/participant-role|4.0.1)

                                            Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

                                            TypeCodeableConcept
                                            Is Modifierfalse
                                            Summarytrue
                                            Alternate Namesspecialty
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            276. 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.

                                            ShortUnique id for inter-element referencing
                                            Control0..01
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            278. ServiceRequest.performerType.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.

                                            ShortExtensionAdditional 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.

                                            Control0..0*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Alternate Namesextensions, user content
                                            Invariantsele-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())
                                            SlicingThis 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
                                            • 280. ServiceRequest.performerType.coding
                                              Definition

                                              A reference to a code defined by a terminology system.

                                              ShortSpecjalizacja lekarza, której dotyczy zlecenieCode 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.

                                              Control10..1*
                                              TypeCoding
                                              Is Modifierfalse
                                              Summarytrue
                                              Requirements

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

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              282. ServiceRequest.performerType.coding.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.

                                              ShortExtensionAdditional 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.

                                              Control0..0*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-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())
                                              SlicingThis 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
                                              • 284. ServiceRequest.performerType.coding.system
                                                Definition

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

                                                ShortSystem 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.

                                                Control10..1
                                                Typeuri
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Requirements

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

                                                Pattern Valuehttp://snomed.info/sct
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                286. ServiceRequest.performerType.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.

                                                ShortVersion 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.

                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                Control0..01
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                288. 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).

                                                ShortKod wskazujący specjalizację lekarza. Przyjmuje wartość ze słownika SNOMED CT z grupy o SCTID = 223366009 (Healthcare professional).Symbol in syntax defined by the system
                                                Control10..1
                                                Typecode
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Requirements

                                                Need to refer to a particular code in the system.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                290. ServiceRequest.performerType.coding.display
                                                Definition

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

                                                ShortNazwaRepresentation defined by the system
                                                Control10..1
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Requirements

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

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                292. 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).

                                                ShortIf 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.

                                                Control0..01
                                                Typeboolean
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                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.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                294. 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.

                                                ShortPlain text representation of the concept
                                                Comments

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

                                                Control0..01
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                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.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                296. ServiceRequest.performer
                                                Definition

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

                                                ShortRequested 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).

                                                Control0..0*
                                                TypeReference(Practitioner, PractitionerRole, Organization, CareTeam, HealthcareService, Patient, Device, RelatedPerson)
                                                Is Modifierfalse
                                                Summarytrue
                                                Alternate Namesrequest recipient
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                298. 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.

                                                ShortRequested location
                                                Control0..0*
                                                BindingFor 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.

                                                TypeCodeableConcept
                                                Is Modifierfalse
                                                Summarytrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                300. 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.

                                                ShortRequested location
                                                Control10..1*
                                                TypeReference(Location)
                                                Is Modifierfalse
                                                Summarytrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                302. 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.

                                                ShortUnique id for inter-element referencing
                                                Control0..01
                                                Typestring
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                304. ServiceRequest.locationReference.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.

                                                ShortExtensionAdditional 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.

                                                Control0..0*
                                                TypeExtension
                                                Is Modifierfalse
                                                Summaryfalse
                                                Alternate Namesextensions, user content
                                                Invariantsele-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())
                                                SlicingThis element introduces a set of slices on ServiceRequest.locationReference.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 306. ServiceRequest.locationReference.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.

                                                  ShortLiteral 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.

                                                  Control0..01
                                                  This element is affected by the following invariants: ref-1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  308. 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.

                                                  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).

                                                  ShortType 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.

                                                  Control0..01
                                                  BindingUnless 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).

                                                  Typeuri
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  310. ServiceRequest.locationReference.identifier
                                                  Definition

                                                  Identyfikator miejsce udzielenia świadczenia.


                                                  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.

                                                  ShortIdentyfikator miejsce udzielenia świadczeniaLogical 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).

                                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                                  Control10..1
                                                  TypeIdentifier
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  312. 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.

                                                  ShortUnique id for inter-element referencing
                                                  Control0..01
                                                  Typestring
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  314. ServiceRequest.locationReference.identifier.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.

                                                  ShortExtensionAdditional 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.

                                                  Control0..0*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Alternate Namesextensions, user content
                                                  Invariantsele-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())
                                                  SlicingThis 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
                                                  • 316. ServiceRequest.locationReference.identifier.use
                                                    Definition

                                                    The purpose of this identifier.

                                                    Shortusual | official | temp | secondary | old (If known)
                                                    Comments

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

                                                    Control0..01
                                                    BindingThe 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 .

                                                    Typecode
                                                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Requirements

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

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    318. 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.

                                                    ShortDescription 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.

                                                    Control0..01
                                                    BindingUnless 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.

                                                    TypeCodeableConcept
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Requirements

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

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    320. ServiceRequest.locationReference.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.

                                                    ShortOID systemu identyfikacji Miejsca Udzielania ŚwiadczeńThe namespace for the identifier value
                                                    Comments

                                                    Identifier.system is always case sensitive.

                                                    Control10..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    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.

                                                    ExampleGeneral: http://www.acme.com/identifiers/patient
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    322. ServiceRequest.locationReference.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.

                                                    ShortIdentyfikator Miejsca Udzielania ŚwiadczeńThe 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.

                                                    Control10..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    ExampleGeneral: 123456
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    324. ServiceRequest.locationReference.identifier.period
                                                    Definition

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

                                                    ShortTime period when id is/was valid for use
                                                    Control0..01
                                                    TypePeriod
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    326. ServiceRequest.locationReference.identifier.assigner
                                                    Definition

                                                    Organization that issued/manages the identifier.

                                                    ShortOrganization 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.

                                                    Control0..01
                                                    TypeReference(Organization)
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    328. ServiceRequest.locationReference.display
                                                    Definition

                                                    Nazwa Miejsca Udzielania Świadczeń


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

                                                    ShortNazwa 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.

                                                    Control10..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    330. 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.

                                                    ShortExplanation/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.


                                                    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.

                                                    Control0..0*
                                                    BindingFor 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.

                                                    TypeCodeableConcept
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    332. 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.

                                                    ShortExplanation/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.


                                                    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.

                                                    Control0..0*
                                                    TypeReference(Condition, Observation, DiagnosticReport, DocumentReference)
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    334. ServiceRequest.insurance
                                                    Definition

                                                    Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service.

                                                    ShortAssociated insurance coverage
                                                    Control0..0*
                                                    TypeReference(Coverage, ClaimResponse)
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    336. ServiceRequest.supportingInfo
                                                    Definition

                                                    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.

                                                    ShortAdditional clinical information
                                                    Comments

                                                    To represent information about how the services are to be delivered use the instructions element.

                                                    Control0..0*
                                                    TypeReference(Resource)
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate NamesAsk at order entry question, AOE
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    338. ServiceRequest.specimen
                                                    Definition

                                                    One or more specimens that the laboratory procedure will use.

                                                    ShortProcedure 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.


                                                    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.

                                                    Control0..0*
                                                    TypeReference(Specimen)
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    340. ServiceRequest.bodySite
                                                    Definition

                                                    Anatomic location where the procedure should be performed. This is the target site.

                                                    ShortLocation 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.

                                                    Control0..0*
                                                    BindingFor 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.

                                                    TypeCodeableConcept
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Requirements

                                                    Knowing where the procedure is performed is important for tracking if multiple sites are possible.

                                                    Alternate Nameslocation
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    342. ServiceRequest.note
                                                    Definition

                                                    Any other notes and comments made about the service request. For example, internal billing notes.

                                                    ShortComments
                                                    Control0..0*
                                                    TypeAnnotation
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    344. ServiceRequest.patientInstruction
                                                    Definition

                                                    Instructions in terms that are understood by the patient or consumer.

                                                    ShortInstrukcje dla pacjentaPatient or consumer-oriented instructions
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    346. ServiceRequest.relevantHistory
                                                    Definition

                                                    Key events in the history of the request.

                                                    ShortRequest 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.

                                                    Control0..0*
                                                    TypeReference(Provenance)
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-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.

                                                    ShortA request for a service to be performed
                                                    Control0..*
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate Namesdiagnostic request, referral, referral request, transfer of care request
                                                    Invariantsdom-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())
                                                    2. ServiceRequest.id
                                                    Definition

                                                    Identyfikator logiczny zasobu nadawany przez system w ramach rejestracji zasobu. Przyjmuje wartość: '{liczba naturalna}'

                                                    ShortIdentyfikator 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.

                                                    Control0..1
                                                    Typeid
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    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.

                                                    ShortMetadane zasobu
                                                    Control1..1
                                                    TypeMeta
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Invariantsele-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.

                                                    ShortUnique id for inter-element referencing
                                                    Control0..0
                                                    Typestring
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    8. ServiceRequest.meta.extension
                                                    Definition

                                                    An Extension

                                                    ShortExtension
                                                    Control0..0
                                                    TypeExtension
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-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())
                                                    SlicingThis 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}'.

                                                      ShortWersja zasobu (wartość ustawiana przez system P1)
                                                      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.

                                                      Control0..1
                                                      Typeid
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Invariantsele-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}'.

                                                      ShortData aktualizacji zasobu (wartość ustawiana przez system P1)
                                                      Comments

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

                                                      Control0..1
                                                      Typeinstant
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Invariantsele-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.

                                                      ShortIdentyfikator źródła zasobu (wartość ustawiana przez system, przy rejestracji lub aktualizacji zasobu)
                                                      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.

                                                      Control0..1
                                                      Typeuri
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Invariantsele-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.

                                                      ShortPLeKOKServiceRequest
                                                      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.

                                                      Control1..1
                                                      Typecanonical(StructureDefinition)
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Fixed Valuehttps://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/pl-ekok-service-request
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      18. ServiceRequest.meta.security
                                                      Definition

                                                      Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

                                                      ShortSecurity Labels applied to this resource
                                                      Comments

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

                                                      Control0..*
                                                      BindingUnless not suitable, these codes SHALL be taken from All Security Labels
                                                      (extensible to http://hl7.org/fhir/ValueSet/security-labels|4.0.1)

                                                      Security Labels from the Healthcare Privacy and Security Classification System.

                                                      TypeCoding
                                                      Is Modifierfalse
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      20. 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.

                                                      ShortTags 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.

                                                      Control0..0
                                                      BindingFor example codes, see CommonTags
                                                      (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".

                                                      TypeCoding
                                                      Is Modifierfalse
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      22. ServiceRequest.implicitRules
                                                      Definition

                                                      Wersja systemu ustawiana przez system.

                                                      ShortWersja systemu (wartość ustawiana przez system P1)
                                                      Comments

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

                                                      Control0..1
                                                      Typeuri
                                                      Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      24. ServiceRequest.language
                                                      Definition

                                                      The base language in which the resource is written.

                                                      ShortLanguage 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).

                                                      Control0..1
                                                      BindingThe codes SHOULD be taken from CommonLanguages
                                                      (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

                                                      A human language.

                                                      Additional BindingsPurpose
                                                      AllLanguagesMax Binding
                                                      Typecode
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summaryfalse
                                                      Pattern Valuepl
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      26. 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.

                                                      ShortText 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.

                                                      Control0..0
                                                      TypeNarrative
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Alternate Namesnarrative, html, xhtml, display
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      28. 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.

                                                      ShortContained, 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.

                                                      Control0..0
                                                      TypeResource
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Alternate Namesinline resources, anonymous resources, contained resources
                                                      30. ServiceRequest.extension
                                                      Definition

                                                      An Extension

                                                      ShortExtension
                                                      Control0..0
                                                      TypeExtension
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Invariantsele-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())
                                                      32. ServiceRequest.modifierExtension
                                                      Definition

                                                      An Extension

                                                      ShortExtension
                                                      Control0..0
                                                      TypeExtension
                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                      Summaryfalse
                                                      Invariantsele-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())
                                                      34. ServiceRequest.identifier
                                                      Definition

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

                                                      ShortIdentifiers 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.

                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                      Control0..0
                                                      TypeIdentifier
                                                      Is Modifierfalse
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      36. 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.

                                                      ShortInstantiates 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.

                                                      Control0..0
                                                      Typecanonical(ActivityDefinition, PlanDefinition)
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      38. 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.

                                                      ShortInstantiates external protocol or definition
                                                      Comments

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

                                                      Control0..0
                                                      Typeuri
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      40. ServiceRequest.basedOn
                                                      Definition

                                                      Plan/proposal/order fulfilled by this request.

                                                      ShortPlan, którego dotyczy zlecenie. W przypadku zlecenia w ramach planu leczenia należy wskazać referencję do planu leczenia. W przypadku zlecenia w ramach planu obserwacji należy wskazać referencję do karty e-KOK
                                                      Control1..1
                                                      TypeReference(CarePlan)
                                                      Is Modifierfalse
                                                      Summarytrue
                                                      Alternate Namesfulfills
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      42. 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.

                                                      ShortUnique id for inter-element referencing
                                                      Control0..0
                                                      Typestring
                                                      Is Modifierfalse
                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                      Summaryfalse
                                                      44. ServiceRequest.basedOn.extension
                                                      Definition

                                                      An Extension

                                                      ShortExtension
                                                      Control0..0
                                                      TypeExtension
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Invariantsele-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())
                                                      SlicingThis 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
                                                      • 46. ServiceRequest.basedOn.reference
                                                        Definition

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

                                                        ShortReferencja do zasobu CarePlan
                                                        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.

                                                        Control1..1
                                                        This element is affected by the following invariants: ref-1
                                                        Typestring
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        48. 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.

                                                        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).

                                                        ShortTyp zasobu (CarePlan)
                                                        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.

                                                        Control1..1
                                                        BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                        (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

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

                                                        Typeuri
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Fixed ValueCarePlan
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        50. ServiceRequest.basedOn.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.

                                                        ShortLogical 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).

                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                        Control0..0
                                                        TypeIdentifier
                                                        Is Modifierfalse
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        52. ServiceRequest.basedOn.display
                                                        Definition

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

                                                        ShortText 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.

                                                        Control0..0
                                                        Typestring
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        54. ServiceRequest.replaces
                                                        Definition

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

                                                        ShortWhat request replaces
                                                        Control0..0
                                                        TypeReference(ServiceRequest)
                                                        Is Modifierfalse
                                                        Summarytrue
                                                        Alternate Namessupersedes, prior, renewed order
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        56. 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.

                                                        ShortComposite 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.

                                                        Control0..0
                                                        TypeIdentifier
                                                        Is Modifierfalse
                                                        Summarytrue
                                                        Requirements

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

                                                        Alternate NamesgrouperId, groupIdentifier
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        58. ServiceRequest.status
                                                        Definition

                                                        Status zlecenia

                                                        Shortactive (Aktywne) | completed (Wykonane) | revoked (Odrzucone) | entered-in-error (Wycofane)
                                                        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.

                                                        Control1..1
                                                        BindingThe codes SHALL be taken from PLeKOKServiceRequestStatusVS
                                                        (required to https://ezdrowie.gov.pl/ekok/fhir/ValueSet/pl-ekok-service-request-status-vs)

                                                        Status zlecenia

                                                        Typecode
                                                        Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        60. ServiceRequest.intent
                                                        Definition

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

                                                        Short'order'
                                                        Comments

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

                                                        Control1..1
                                                        BindingThe codes SHALL be taken from RequestIntent
                                                        (required to http://hl7.org/fhir/ValueSet/request-intent|4.0.1)

                                                        The kind of service request.

                                                        Typecode
                                                        Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Fixed Valueorder
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        62. ServiceRequest.category
                                                        Definition

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

                                                        ShortKategoria usługi medycznej, której dotyczy zlecenie (typ skierowania)
                                                        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.

                                                        Control1..1
                                                        BindingThe codes SHALL be taken from PLeKOKMedicalServiceCategoryVS
                                                        (required to https://ezdrowie.gov.pl/ekok/fhir/ValueSet/pl-ekok-medical-service-category-vs)
                                                        TypeCodeableConcept
                                                        Is Modifierfalse
                                                        Summarytrue
                                                        Requirements

                                                        Used for filtering what service request are retrieved and displayed.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        64. 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.

                                                        ShortUnique id for inter-element referencing
                                                        Control0..0
                                                        Typestring
                                                        Is Modifierfalse
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        Summaryfalse
                                                        66. ServiceRequest.category.extension
                                                        Definition

                                                        An Extension

                                                        ShortExtension
                                                        Control0..0
                                                        TypeExtension
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Invariantsele-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())
                                                        SlicingThis 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
                                                        • 68. ServiceRequest.category.coding
                                                          Definition

                                                          A reference to a code defined by a terminology system.

                                                          ShortCode 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.

                                                          Control1..1
                                                          TypeCoding
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          Requirements

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

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          70. ServiceRequest.category.coding.id
                                                          Definition

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

                                                          ShortUnique id for inter-element referencing
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          Summaryfalse
                                                          72. ServiceRequest.category.coding.extension
                                                          Definition

                                                          An Extension

                                                          ShortExtension
                                                          Control0..0
                                                          TypeExtension
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-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())
                                                          SlicingThis 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
                                                          • 74. ServiceRequest.category.coding.system
                                                            Definition

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

                                                            ShortSystem kodowania
                                                            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.

                                                            Control1..1
                                                            Typeuri
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Requirements

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

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            76. 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.

                                                            ShortVersion 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.

                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                            Control0..0
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            78. 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).

                                                            ShortKod
                                                            Control1..1
                                                            Typecode
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Requirements

                                                            Need to refer to a particular code in the system.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            80. ServiceRequest.category.coding.display
                                                            Definition

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

                                                            ShortNazwa
                                                            Control1..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Requirements

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

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            82. 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).

                                                            ShortIf 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.

                                                            Control0..0
                                                            Typeboolean
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            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.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            84. 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.

                                                            ShortPlain text representation of the concept
                                                            Comments

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

                                                            Control0..0
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            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.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            86. ServiceRequest.priority
                                                            Definition

                                                            Tryb realizacji

                                                            Shorturgent (Pilny) | routine (Stabilny)
                                                            Control1..1
                                                            BindingThe codes SHALL be taken from RequestPriority
                                                            (required to http://hl7.org/fhir/ValueSet/request-priority)
                                                            Typecode
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Meaning if MissingIf missing, this task should be performed with normal priority
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            88. ServiceRequest.doNotPerform
                                                            Definition

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

                                                            ShortTrue 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.

                                                            Control0..0
                                                            Typeboolean
                                                            Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            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 MissingIf missing, the request is a positive request e.g. "do perform"
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            90. ServiceRequest.code
                                                            Definition

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

                                                            ShortKod usługi (ICD-9)
                                                            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.

                                                            Control1..1
                                                            BindingFor example codes, see ProcedureCodes(SNOMEDCT)
                                                            (example to http://hl7.org/fhir/ValueSet/procedure-code|4.0.1)

                                                            Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.

                                                            TypeCodeableConcept
                                                            Is Modifierfalse
                                                            Summarytrue
                                                            Alternate Namesservice requested
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            92. 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.

                                                            ShortUnique id for inter-element referencing
                                                            Control0..0
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            94. ServiceRequest.code.extension
                                                            Definition

                                                            An Extension

                                                            ShortExtension
                                                            Control0..0
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-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())
                                                            SlicingThis 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
                                                            • 96. ServiceRequest.code.coding
                                                              Definition

                                                              A reference to a code defined by a terminology system.

                                                              ShortTyp zabiegu w systemie kodowania ICD-9
                                                              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.

                                                              Control1..1
                                                              TypeCoding
                                                              Is Modifierfalse
                                                              Summarytrue
                                                              Requirements

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

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              98. ServiceRequest.code.coding.id
                                                              Definition

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

                                                              ShortUnique id for inter-element referencing
                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              Summaryfalse
                                                              100. ServiceRequest.code.coding.extension
                                                              Definition

                                                              An Extension

                                                              ShortExtension
                                                              Control0..0
                                                              TypeExtension
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-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())
                                                              SlicingThis 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
                                                              • 102. ServiceRequest.code.coding.system
                                                                Definition

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

                                                                Shorturn:oid:2.16.840.1.113883.3.4424.11.2.6
                                                                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.

                                                                Control1..1
                                                                Typeuri
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

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

                                                                Fixed Valueurn:oid:2.16.840.1.113883.3.4424.11.2.6
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                104. ServiceRequest.code.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.

                                                                ShortVersion 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.

                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                Control0..0
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                106. 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).

                                                                ShortKod
                                                                Control1..1
                                                                Typecode
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

                                                                Need to refer to a particular code in the system.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                108. ServiceRequest.code.coding.display
                                                                Definition

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

                                                                ShortNazwa
                                                                Control1..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

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

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                110. 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).

                                                                ShortIf 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.

                                                                Control0..0
                                                                Typeboolean
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                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.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                112. 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.

                                                                ShortPlain text representation of the concept
                                                                Comments

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

                                                                Control0..0
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                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.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                114. 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.

                                                                ShortInne informacje lub dane, w zakresie niezbędnym do przeprowadzenia badania, konsultacji lub leczenia
                                                                Comments

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

                                                                Control0..1
                                                                This element is affected by the following invariants: prr-1
                                                                BindingFor example codes, see ServiceRequestOrderDetailsCodes
                                                                (example to http://hl7.org/fhir/ValueSet/servicerequest-orderdetail|4.0.1)

                                                                Codified order entry details which are based on order context.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Alternate Namesdetailed instructions
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                116. 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.

                                                                ShortUnique id for inter-element referencing
                                                                Control0..0
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                118. ServiceRequest.orderDetail.extension
                                                                Definition

                                                                An Extension

                                                                ShortExtension
                                                                Control0..0
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-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())
                                                                SlicingThis 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
                                                                • 120. ServiceRequest.orderDetail.coding
                                                                  Definition

                                                                  A reference to a code defined by a terminology system.

                                                                  ShortCode 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.

                                                                  Control0..0
                                                                  TypeCoding
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Requirements

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

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  122. 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.

                                                                  ShortTreść informacji
                                                                  Comments

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

                                                                  Control1..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  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.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  124. 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).

                                                                  ShortService amount
                                                                  Control0..0
                                                                  TypeChoice of: Quantity, Ratio, Range
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Requirements

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

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  126. 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).

                                                                  ShortDane pacjenta
                                                                  Control1..1
                                                                  TypeReference(Patient)
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  128. 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.

                                                                  ShortUnique id for inter-element referencing
                                                                  Control0..0
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Summaryfalse
                                                                  130. ServiceRequest.subject.extension
                                                                  Definition

                                                                  An Extension

                                                                  ShortExtension
                                                                  Control0..0
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Invariantsele-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())
                                                                  SlicingThis 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
                                                                  • 132. 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.

                                                                    ShortReferencja do zasobu Patient
                                                                    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.

                                                                    Control1..1
                                                                    This element is affected by the following invariants: ref-1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    134. ServiceRequest.subject.type
                                                                    Definition

                                                                    Typ zasobu z danymi pacjenta. Przyjmuje wartość: Patient.

                                                                    ShortTyp zasobu z danymi pacjenta (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.

                                                                    Control1..1
                                                                    BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                    (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

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

                                                                    Typeuri
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summarytrue
                                                                    Fixed ValuePatient
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    136. ServiceRequest.subject.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.

                                                                    ShortLogical 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).

                                                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                    Control0..0
                                                                    TypeIdentifier
                                                                    Is Modifierfalse
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    138. ServiceRequest.subject.display
                                                                    Definition

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

                                                                    ShortText 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.

                                                                    Control0..0
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    140. ServiceRequest.encounter
                                                                    Definition

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

                                                                    ShortReferencja do zasobu z danymi świadczenia (PLeKOKEncounter), w ramach którego wystawiono zalecenie
                                                                    Control1..1
                                                                    TypeReference(Encounter)
                                                                    Is Modifierfalse
                                                                    Summarytrue
                                                                    Alternate Namescontext
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    142. 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.

                                                                    ShortUnique id for inter-element referencing
                                                                    Control0..0
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    Summaryfalse
                                                                    144. ServiceRequest.encounter.extension
                                                                    Definition

                                                                    An Extension

                                                                    ShortExtension
                                                                    Control0..0
                                                                    TypeExtension
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Invariantsele-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())
                                                                    SlicingThis 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
                                                                    • 146. ServiceRequest.encounter.reference
                                                                      Definition

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

                                                                      ShortReferencja do zasobu Encounter
                                                                      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.

                                                                      Control1..1
                                                                      This element is affected by the following invariants: ref-1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      148. ServiceRequest.encounter.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).

                                                                      ShortTyp zasobu (Encounter)
                                                                      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.

                                                                      Control1..1
                                                                      BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                      (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

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

                                                                      Typeuri
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Fixed ValueEncounter
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      150. ServiceRequest.encounter.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.

                                                                      ShortLogical 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).

                                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                      Control0..0
                                                                      TypeIdentifier
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      152. ServiceRequest.encounter.display
                                                                      Definition

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

                                                                      ShortText 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.

                                                                      Control0..0
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      154. ServiceRequest.occurrence[x]
                                                                      Definition

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

                                                                      ShortWhen service should occur
                                                                      Control0..1
                                                                      TypeTiming
                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Alternate Namesschedule
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      SlicingThis element introduces a set of slices on ServiceRequest.occurrence[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                      • type @ $this
                                                                      • 156. ServiceRequest.occurrence[x]:occurrenceDateTime
                                                                        Slice NameoccurrenceDateTime
                                                                        Definition

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

                                                                        ShortWhen service should occur
                                                                        Control0..0
                                                                        TypedateTime
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summarytrue
                                                                        Alternate Namesschedule
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        158. ServiceRequest.occurrence[x]:occurrencePeriod
                                                                        Slice NameoccurrencePeriod
                                                                        Definition

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

                                                                        ShortWhen service should occur
                                                                        Control0..0
                                                                        TypePeriod
                                                                        Is Modifierfalse
                                                                        Summarytrue
                                                                        Alternate Namesschedule
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        160. ServiceRequest.occurrence[x]:occurrenceTiming
                                                                        Slice NameoccurrenceTiming
                                                                        Definition

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

                                                                        ShortInformacje dotyczące terminu realizacji zlecenia
                                                                        Control0..1
                                                                        TypeTiming
                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                        Is Modifierfalse
                                                                        Summarytrue
                                                                        Alternate Namesschedule
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        162. ServiceRequest.occurrence[x]:occurrenceTiming.id
                                                                        Definition

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

                                                                        ShortUnique id for inter-element referencing
                                                                        Control0..0
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        Summaryfalse
                                                                        164. ServiceRequest.occurrence[x]:occurrenceTiming.extension
                                                                        Definition

                                                                        An Extension

                                                                        ShortExtension
                                                                        Control0..0
                                                                        TypeExtension
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Invariantsele-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())
                                                                        SlicingThis element introduces a set of slices on ServiceRequest.occurrence[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                        • value @ url
                                                                        • 166. ServiceRequest.occurrence[x]:occurrenceTiming.modifierExtension
                                                                          Definition

                                                                          An Extension

                                                                          ShortExtension
                                                                          Control0..0
                                                                          TypeExtension
                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                          Summarytrue
                                                                          Invariantsele-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())
                                                                          168. ServiceRequest.occurrence[x]:occurrenceTiming.event
                                                                          Definition

                                                                          Identifies specific times when the event occurs.

                                                                          ShortWhen the event occurs
                                                                          Control0..0
                                                                          TypedateTime
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Requirements

                                                                          In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          170. ServiceRequest.occurrence[x]:occurrenceTiming.repeat
                                                                          Definition

                                                                          A set of rules that describe when the event is scheduled.

                                                                          ShortWhen the event is to occur
                                                                          Control1..1
                                                                          TypeElement
                                                                          Is Modifierfalse
                                                                          Summarytrue
                                                                          Requirements

                                                                          Many timing schedules are determined by regular repetitions.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists())
                                                                          tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists())
                                                                          tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0)
                                                                          tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0)
                                                                          tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists())
                                                                          tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists())
                                                                          tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists())
                                                                          tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())))
                                                                          tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty())
                                                                          172. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.id
                                                                          Definition

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

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          174. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.extension
                                                                          Definition

                                                                          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.

                                                                          ShortAdditional 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.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Alternate Namesextensions, user content
                                                                          Invariantsele-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())
                                                                          SlicingThis element introduces a set of slices on ServiceRequest.occurrence[x].repeat.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                          • value @ url
                                                                          • 176. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]
                                                                            Definition

                                                                            Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.

                                                                            ShortLength/Range of lengths, or (Start and/or end) limits
                                                                            Control0..1
                                                                            TypeChoice of: Duration, Range, Period
                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                            Is Modifierfalse
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            SlicingThis element introduces a set of slices on ServiceRequest.occurrence[x].repeat.bounds[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • type @ $this
                                                                            • 178. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration
                                                                              Slice NameboundsDuration
                                                                              Definition

                                                                              Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.

                                                                              ShortOkres ważności zlecenia
                                                                              Control0..1
                                                                              TypeDuration
                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                              Is Modifierfalse
                                                                              Summarytrue
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              180. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.id
                                                                              Definition

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

                                                                              ShortUnique id for inter-element referencing
                                                                              Control0..0
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              Summaryfalse
                                                                              182. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.extension
                                                                              Definition

                                                                              An Extension

                                                                              ShortExtension
                                                                              Control0..0
                                                                              TypeExtension
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Invariantsele-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())
                                                                              SlicingThis element introduces a set of slices on ServiceRequest.occurrence[x].repeat.bounds[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                              • value @ url
                                                                              • 184. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.value
                                                                                Definition

                                                                                The value of the measured amount. The value includes an implicit precision in the presentation of the value.

                                                                                ShortIlość
                                                                                Comments

                                                                                The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

                                                                                Control1..1
                                                                                Typedecimal
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                Precision is handled implicitly in almost all cases of measurement.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                186. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.comparator
                                                                                Definition

                                                                                How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.

                                                                                Short< | <= | >= | > - how to understand the value
                                                                                Control0..0
                                                                                BindingThe codes SHALL be taken from QuantityComparator
                                                                                (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

                                                                                How the Quantity should be understood and represented.

                                                                                Typecode
                                                                                Is Modifiertrue because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

                                                                                Meaning if MissingIf there is no comparator, then there is no modification of the value
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                188. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.unit
                                                                                Definition

                                                                                A human-readable form of the unit.

                                                                                ShortJednostka czasu dla okresu: s | min | h | d | wk | mo | a
                                                                                Control1..1
                                                                                BindingThe codes SHALL be taken from UnitsOfTime
                                                                                (required to http://hl7.org/fhir/ValueSet/units-of-time)
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                190. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.system
                                                                                Definition

                                                                                The identification of the system that provides the coded form of the unit.

                                                                                ShortSystem that defines coded unit form
                                                                                Control0..0
                                                                                This element is affected by the following invariants: qty-3
                                                                                Typeuri
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                Need to know the system that defines the coded form of the unit.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                192. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.bounds[x]:boundsDuration.code
                                                                                Definition

                                                                                A computer processable form of the unit in some unit representation system.

                                                                                ShortCoded form of the unit
                                                                                Comments

                                                                                The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

                                                                                Control0..0
                                                                                Typecode
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                194. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.count
                                                                                Definition

                                                                                A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values.

                                                                                ShortIlość usług do realizacji w trakcie okresu ważności zlecenia. W przypadku skierowania na jednorazową usługę należy wskazać '1'
                                                                                Comments

                                                                                If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.

                                                                                Control0..1
                                                                                TypepositiveInt
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                Repetitions may be limited by end time or total occurrences.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                196. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.countMax
                                                                                Definition

                                                                                If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times.

                                                                                ShortMaximum number of times to repeat
                                                                                Control0..0
                                                                                TypepositiveInt
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                198. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.duration
                                                                                Definition

                                                                                How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration.

                                                                                ShortHow long when it happens
                                                                                Comments

                                                                                For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).

                                                                                Control0..0
                                                                                Typedecimal
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                Some activities are not instantaneous and need to be maintained for a period of time.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                200. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.durationMax
                                                                                Definition

                                                                                If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length.

                                                                                ShortHow long when it happens (Max)
                                                                                Comments

                                                                                For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).

                                                                                Control0..0
                                                                                Typedecimal
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                Some activities are not instantaneous and need to be maintained for a period of time.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                202. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.durationUnit
                                                                                Definition

                                                                                The units of time for the duration, in UCUM units.

                                                                                Shorts | min | h | d | wk | mo | a - unit of time (UCUM)
                                                                                Control0..0
                                                                                BindingThe codes SHALL be taken from UnitsOfTime
                                                                                (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

                                                                                A unit of time (units from UCUM).

                                                                                Typecode
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                204. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.frequency
                                                                                Definition

                                                                                The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency.

                                                                                ShortCzęstotliwość realizacji usług w danym okresie cyklu (period)
                                                                                Control0..1
                                                                                TypepositiveInt
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Meaning if MissingIf no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                206. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.frequencyMax
                                                                                Definition

                                                                                If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range.

                                                                                ShortEvent occurs up to frequencyMax times per period
                                                                                Control0..0
                                                                                TypepositiveInt
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                208. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.period
                                                                                Definition

                                                                                Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length.

                                                                                ShortOkres jednego cyklu
                                                                                Control0..1
                                                                                Typedecimal
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                210. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.periodMax
                                                                                Definition

                                                                                If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days.

                                                                                ShortUpper limit of period (3-4 hours)
                                                                                Control0..0
                                                                                Typedecimal
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                212. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.periodUnit
                                                                                Definition

                                                                                The units of time for the period in UCUM units.

                                                                                ShortJednostka czasu dla okresu cyklu: s | min | h | d | wk | mo | a
                                                                                Control0..1
                                                                                BindingThe codes SHALL be taken from UnitsOfTime
                                                                                (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

                                                                                A unit of time (units from UCUM).

                                                                                Typecode
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                214. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.dayOfWeek
                                                                                Definition

                                                                                If one or more days of week is provided, then the action happens only on the specified day(s).

                                                                                Shortmon | tue | wed | thu | fri | sat | sun
                                                                                Comments

                                                                                If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.

                                                                                Control0..0
                                                                                BindingThe codes SHALL be taken from DaysOfWeek
                                                                                (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)
                                                                                Typecode
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                216. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.timeOfDay
                                                                                Definition

                                                                                Specified time of day for action to take place.

                                                                                ShortTime of day for action
                                                                                Comments

                                                                                When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.

                                                                                Control0..0
                                                                                Typetime
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                218. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.when
                                                                                Definition

                                                                                An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur.

                                                                                ShortCode for time period of occurrence
                                                                                Comments

                                                                                When more than one event is listed, the event is tied to the union of the specified events.

                                                                                Control0..0
                                                                                BindingThe codes SHALL be taken from EventTiming
                                                                                (required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1)

                                                                                Real world event relating to the schedule.

                                                                                Typecode
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

                                                                                Timings are frequently determined by occurrences such as waking, eating and sleep.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                220. ServiceRequest.occurrence[x]:occurrenceTiming.repeat.offset
                                                                                Definition

                                                                                The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.

                                                                                ShortMinutes from event (before or after)
                                                                                Control0..0
                                                                                TypeunsignedInt
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                222. ServiceRequest.occurrence[x]:occurrenceTiming.code
                                                                                Definition

                                                                                A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).

                                                                                ShortBID | TID | QID | AM | PM | QD | QOD | +
                                                                                Comments

                                                                                BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).

                                                                                Control0..0
                                                                                BindingThe codes SHOULD be taken from TimingAbbreviation
                                                                                (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation|4.0.1)

                                                                                Code for a known / defined timing pattern.

                                                                                TypeCodeableConcept
                                                                                Is Modifierfalse
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                224. 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.

                                                                                ShortPreconditions for service
                                                                                Control0..0
                                                                                BindingFor example codes, see SNOMEDCTMedicationAsNeededReasonCodes
                                                                                (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.

                                                                                TypeChoice of: boolean, CodeableConcept
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                226. ServiceRequest.authoredOn
                                                                                Definition

                                                                                When the request transitioned to being actionable.

                                                                                ShortData utworzenia zlecenia
                                                                                Control1..1
                                                                                TypedateTime
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Alternate NamesorderedOn
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                228. ServiceRequest.requester
                                                                                Definition

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

                                                                                ShortZlecający
                                                                                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.

                                                                                Control1..1
                                                                                TypeReference(Practitioner)
                                                                                Is Modifierfalse
                                                                                Summarytrue
                                                                                Alternate Namesauthor, orderer
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                230. 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.

                                                                                ShortUnique id for inter-element referencing
                                                                                Control0..0
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                Summaryfalse
                                                                                232. ServiceRequest.requester.extension
                                                                                Definition

                                                                                An Extension

                                                                                ShortExtension
                                                                                Control0..0
                                                                                TypeExtension
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Invariantsele-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())
                                                                                SlicingThis 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
                                                                                • 234. ServiceRequest.requester.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.

                                                                                  ShortLiteral 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.

                                                                                  Control0..0
                                                                                  This element is affected by the following invariants: ref-1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Summarytrue
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  236. 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.

                                                                                  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).

                                                                                  ShortType 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.

                                                                                  Control0..0
                                                                                  BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                  (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

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

                                                                                  Typeuri
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Summarytrue
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  238. ServiceRequest.requester.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.

                                                                                  ShortIdentyfikator pracownika medycznego
                                                                                  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).

                                                                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                  Control1..1
                                                                                  TypeIdentifier
                                                                                  Is Modifierfalse
                                                                                  Summarytrue
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  240. 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.

                                                                                  ShortUnique id for inter-element referencing
                                                                                  Control0..0
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  Summaryfalse
                                                                                  242. ServiceRequest.requester.identifier.extension
                                                                                  Definition

                                                                                  An Extension

                                                                                  ShortExtension
                                                                                  Control0..0
                                                                                  TypeExtension
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Invariantsele-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())
                                                                                  SlicingThis 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
                                                                                  • 244. ServiceRequest.requester.identifier.use
                                                                                    Definition

                                                                                    The purpose of this identifier.

                                                                                    Shortusual | official | temp | secondary | old (If known)
                                                                                    Comments

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

                                                                                    Control0..0
                                                                                    BindingThe codes SHALL be taken from IdentifierUse
                                                                                    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                    Identifies the purpose for this identifier, if known .

                                                                                    Typecode
                                                                                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Requirements

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

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    246. 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.

                                                                                    ShortDescription 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.

                                                                                    Control0..0
                                                                                    BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                                    (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.

                                                                                    TypeCodeableConcept
                                                                                    Is Modifierfalse
                                                                                    Summarytrue
                                                                                    Requirements

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

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    248. ServiceRequest.requester.identifier.system
                                                                                    Definition

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

                                                                                    ShortSystem identyfikacji pracowników medycznych
                                                                                    Comments

                                                                                    Identifier.system is always case sensitive.

                                                                                    Control1..1
                                                                                    Typeuri
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    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.

                                                                                    ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    250. 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.

                                                                                    ShortIdentyfikator pracownika medycznego
                                                                                    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.

                                                                                    Control1..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    ExampleGeneral: 123456
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    252. ServiceRequest.requester.identifier.period
                                                                                    Definition

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

                                                                                    ShortTime period when id is/was valid for use
                                                                                    Control0..0
                                                                                    TypePeriod
                                                                                    Is Modifierfalse
                                                                                    Summarytrue
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    254. ServiceRequest.requester.identifier.assigner
                                                                                    Definition

                                                                                    Organization that issued/manages the identifier.

                                                                                    ShortOrganization 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.

                                                                                    Control0..0
                                                                                    TypeReference(Organization)
                                                                                    Is Modifierfalse
                                                                                    Summarytrue
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    256. ServiceRequest.requester.display
                                                                                    Definition

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

                                                                                    ShortText 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.

                                                                                    Control1..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    258. ServiceRequest.requester.display.id
                                                                                    Definition

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

                                                                                    Shortxml:id (or equivalent in JSON)
                                                                                    Control0..0
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                    Summaryfalse
                                                                                    260. ServiceRequest.requester.display.extension
                                                                                    Definition

                                                                                    An Extension

                                                                                    ShortExtension
                                                                                    Control2..*
                                                                                    TypeExtension
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-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())
                                                                                    SlicingThis 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
                                                                                    • 262. ServiceRequest.requester.display.extension:familyName
                                                                                      Slice NamefamilyName
                                                                                      Definition

                                                                                      Nazwisko pracownika medycznego.

                                                                                      ShortNazwisko
                                                                                      Control1..1
                                                                                      This element is affected by the following invariants: ele-1
                                                                                      TypeExtension(ReferenceDisplayFamilyName) (Extension Type: string)
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Invariantsele-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())
                                                                                      264. 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.

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control0..0
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      266. ServiceRequest.requester.display.extension:familyName.extension
                                                                                      Definition

                                                                                      An Extension

                                                                                      ShortExtension
                                                                                      Control0..0
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Invariantsele-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())
                                                                                      SlicingThis 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
                                                                                      • 268. ServiceRequest.requester.display.extension:familyName.url
                                                                                        Definition

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

                                                                                        Shortidentifies 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.

                                                                                        Control1..1
                                                                                        Typeuri
                                                                                        Is Modifierfalse
                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                        Summaryfalse
                                                                                        Fixed Valuehttps://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/reference-display-family-name
                                                                                        270. ServiceRequest.requester.display.extension:familyName.value[x]
                                                                                        Definition

                                                                                        Nazwisko pracownika medycznego

                                                                                        ShortNazwisko
                                                                                        Control1..1
                                                                                        Typestring
                                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summaryfalse
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        272. ServiceRequest.requester.display.extension:givenName
                                                                                        Slice NamegivenName
                                                                                        Definition

                                                                                        Imiona pracownika medycznego.

                                                                                        ShortImiona
                                                                                        Control1..*
                                                                                        This element is affected by the following invariants: ele-1
                                                                                        TypeExtension(ReferenceDisplayGivenName) (Extension Type: string)
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Invariantsele-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())
                                                                                        274. 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.

                                                                                        ShortUnique id for inter-element referencing
                                                                                        Control0..0
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                        Summaryfalse
                                                                                        276. ServiceRequest.requester.display.extension:givenName.extension
                                                                                        Definition

                                                                                        An Extension

                                                                                        ShortExtension
                                                                                        Control0..0
                                                                                        TypeExtension
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Invariantsele-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())
                                                                                        SlicingThis 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
                                                                                        • 278. ServiceRequest.requester.display.extension:givenName.url
                                                                                          Definition

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

                                                                                          Shortidentifies 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.

                                                                                          Control1..1
                                                                                          Typeuri
                                                                                          Is Modifierfalse
                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                          Summaryfalse
                                                                                          Fixed Valuehttps://ezdrowie.gov.pl/ekok/fhir/StructureDefinition/reference-display-given-name
                                                                                          280. ServiceRequest.requester.display.extension:givenName.value[x]
                                                                                          Definition

                                                                                          pracownika medycznego.

                                                                                          ShortImię
                                                                                          Control1..1
                                                                                          Typestring
                                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summaryfalse
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          282. ServiceRequest.requester.display.value
                                                                                          Definition

                                                                                          The actual value

                                                                                          ShortPrimitive value for string
                                                                                          Control0..0
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                          Summaryfalse
                                                                                          Max Length:1048576
                                                                                          284. ServiceRequest.performerType
                                                                                          Definition

                                                                                          Desired type of performer for doing the requested service.

                                                                                          ShortSpecjalizacja lekarza, której dotyczy zlecenie
                                                                                          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”.

                                                                                          Control1..1
                                                                                          BindingFor example codes, see ParticipantRoles
                                                                                          (example to http://hl7.org/fhir/ValueSet/participant-role|4.0.1)

                                                                                          Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

                                                                                          TypeCodeableConcept
                                                                                          Is Modifierfalse
                                                                                          Summarytrue
                                                                                          Alternate Namesspecialty
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          286. 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.

                                                                                          ShortUnique id for inter-element referencing
                                                                                          Control0..0
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                          Summaryfalse
                                                                                          288. ServiceRequest.performerType.extension
                                                                                          Definition

                                                                                          An Extension

                                                                                          ShortExtension
                                                                                          Control0..0
                                                                                          TypeExtension
                                                                                          Is Modifierfalse
                                                                                          Summaryfalse
                                                                                          Invariantsele-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())
                                                                                          SlicingThis 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
                                                                                          • 290. ServiceRequest.performerType.coding
                                                                                            Definition

                                                                                            A reference to a code defined by a terminology system.

                                                                                            ShortSpecjalizacja lekarza, której dotyczy zlecenie
                                                                                            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.

                                                                                            Control1..1
                                                                                            TypeCoding
                                                                                            Is Modifierfalse
                                                                                            Summarytrue
                                                                                            Requirements

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

                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            292. ServiceRequest.performerType.coding.id
                                                                                            Definition

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

                                                                                            ShortUnique id for inter-element referencing
                                                                                            Control0..1
                                                                                            Typestring
                                                                                            Is Modifierfalse
                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                            Summaryfalse
                                                                                            294. ServiceRequest.performerType.coding.extension
                                                                                            Definition

                                                                                            An Extension

                                                                                            ShortExtension
                                                                                            Control0..0
                                                                                            TypeExtension
                                                                                            Is Modifierfalse
                                                                                            Summaryfalse
                                                                                            Invariantsele-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())
                                                                                            SlicingThis 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
                                                                                            • 296. ServiceRequest.performerType.coding.system
                                                                                              Definition

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

                                                                                              ShortSystem kodowania
                                                                                              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.

                                                                                              Control1..1
                                                                                              Typeuri
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Requirements

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

                                                                                              Pattern Valuehttp://snomed.info/sct
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              298. ServiceRequest.performerType.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.

                                                                                              ShortVersion 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.

                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                              Control0..0
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              300. 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).

                                                                                              ShortKod wskazujący specjalizację lekarza. Przyjmuje wartość ze słownika SNOMED CT z grupy o SCTID = 223366009 (Healthcare professional).
                                                                                              Control1..1
                                                                                              Typecode
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Requirements

                                                                                              Need to refer to a particular code in the system.

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              302. ServiceRequest.performerType.coding.display
                                                                                              Definition

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

                                                                                              ShortNazwa
                                                                                              Control1..1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Requirements

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

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              304. 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).

                                                                                              ShortIf 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.

                                                                                              Control0..0
                                                                                              Typeboolean
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              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.

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              306. 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.

                                                                                              ShortPlain text representation of the concept
                                                                                              Comments

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

                                                                                              Control0..0
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              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.

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              308. ServiceRequest.performer
                                                                                              Definition

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

                                                                                              ShortRequested 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).

                                                                                              Control0..0
                                                                                              TypeReference(Practitioner, PractitionerRole, Organization, CareTeam, HealthcareService, Patient, Device, RelatedPerson)
                                                                                              Is Modifierfalse
                                                                                              Summarytrue
                                                                                              Alternate Namesrequest recipient
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              310. 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.

                                                                                              ShortRequested location
                                                                                              Control0..0
                                                                                              BindingFor example codes, see ServiceDeliveryLocationRoleType
                                                                                              (example to http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType)

                                                                                              A location type where services are delivered.

                                                                                              TypeCodeableConcept
                                                                                              Is Modifierfalse
                                                                                              Summarytrue
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              312. 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.

                                                                                              ShortRequested location
                                                                                              Control1..1
                                                                                              TypeReference(Location)
                                                                                              Is Modifierfalse
                                                                                              Summarytrue
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              314. 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.

                                                                                              ShortUnique id for inter-element referencing
                                                                                              Control0..0
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                              Summaryfalse
                                                                                              316. ServiceRequest.locationReference.extension
                                                                                              Definition

                                                                                              An Extension

                                                                                              ShortExtension
                                                                                              Control0..0
                                                                                              TypeExtension
                                                                                              Is Modifierfalse
                                                                                              Summaryfalse
                                                                                              Invariantsele-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())
                                                                                              SlicingThis element introduces a set of slices on ServiceRequest.locationReference.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                              • value @ url
                                                                                              • 318. ServiceRequest.locationReference.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.

                                                                                                ShortLiteral 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.

                                                                                                Control0..0
                                                                                                This element is affected by the following invariants: ref-1
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                320. 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.

                                                                                                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).

                                                                                                ShortType 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.

                                                                                                Control0..0
                                                                                                BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                                (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

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

                                                                                                Typeuri
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                322. ServiceRequest.locationReference.identifier
                                                                                                Definition

                                                                                                Identyfikator miejsce udzielenia świadczenia.

                                                                                                ShortIdentyfikator miejsce udzielenia świadczenia
                                                                                                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).

                                                                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                Control1..1
                                                                                                TypeIdentifier
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                324. 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.

                                                                                                ShortUnique id for inter-element referencing
                                                                                                Control0..0
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                Summaryfalse
                                                                                                326. ServiceRequest.locationReference.identifier.extension
                                                                                                Definition

                                                                                                An Extension

                                                                                                ShortExtension
                                                                                                Control0..0
                                                                                                TypeExtension
                                                                                                Is Modifierfalse
                                                                                                Summaryfalse
                                                                                                Invariantsele-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())
                                                                                                SlicingThis 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
                                                                                                • 328. ServiceRequest.locationReference.identifier.use
                                                                                                  Definition

                                                                                                  The purpose of this identifier.

                                                                                                  Shortusual | official | temp | secondary | old (If known)
                                                                                                  Comments

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

                                                                                                  Control0..0
                                                                                                  BindingThe codes SHALL be taken from IdentifierUse
                                                                                                  (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                                  Identifies the purpose for this identifier, if known .

                                                                                                  Typecode
                                                                                                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  Requirements

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

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  330. 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.

                                                                                                  ShortDescription 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.

                                                                                                  Control0..0
                                                                                                  BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                                                  (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.

                                                                                                  TypeCodeableConcept
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Requirements

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

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  332. ServiceRequest.locationReference.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”.

                                                                                                  ShortOID systemu identyfikacji Miejsca Udzielania Świadczeń
                                                                                                  Comments

                                                                                                  Identifier.system is always case sensitive.

                                                                                                  Control1..1
                                                                                                  Typeuri
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  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.

                                                                                                  ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  334. ServiceRequest.locationReference.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}” .

                                                                                                  ShortIdentyfikator Miejsca Udzielania Świadczeń
                                                                                                  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.

                                                                                                  Control1..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  ExampleGeneral: 123456
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  336. ServiceRequest.locationReference.identifier.period
                                                                                                  Definition

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

                                                                                                  ShortTime period when id is/was valid for use
                                                                                                  Control0..0
                                                                                                  TypePeriod
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  338. ServiceRequest.locationReference.identifier.assigner
                                                                                                  Definition

                                                                                                  Organization that issued/manages the identifier.

                                                                                                  ShortOrganization 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.

                                                                                                  Control0..0
                                                                                                  TypeReference(Organization)
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  340. ServiceRequest.locationReference.display
                                                                                                  Definition

                                                                                                  Nazwa Miejsca Udzielania Świadczeń

                                                                                                  ShortNazwa Miejsca Udzielania Świadczeń
                                                                                                  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.

                                                                                                  Control1..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  342. 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.

                                                                                                  ShortExplanation/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.

                                                                                                  Control0..0
                                                                                                  BindingFor example codes, see ProcedureReasonCodes
                                                                                                  (example to http://hl7.org/fhir/ValueSet/procedure-reason|4.0.1)

                                                                                                  Diagnosis or problem codes justifying the reason for requesting the service investigation.

                                                                                                  TypeCodeableConcept
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  344. 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.

                                                                                                  ShortExplanation/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.

                                                                                                  Control0..0
                                                                                                  TypeReference(Condition, Observation, DiagnosticReport, DocumentReference)
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  346. ServiceRequest.insurance
                                                                                                  Definition

                                                                                                  Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service.

                                                                                                  ShortAssociated insurance coverage
                                                                                                  Control0..0
                                                                                                  TypeReference(Coverage, ClaimResponse)
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  348. ServiceRequest.supportingInfo
                                                                                                  Definition

                                                                                                  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.

                                                                                                  ShortAdditional clinical information
                                                                                                  Comments

                                                                                                  To represent information about how the services are to be delivered use the instructions element.

                                                                                                  Control0..0
                                                                                                  TypeReference(Resource)
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Alternate NamesAsk at order entry question, AOE
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  350. ServiceRequest.specimen
                                                                                                  Definition

                                                                                                  One or more specimens that the laboratory procedure will use.

                                                                                                  ShortProcedure 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.

                                                                                                  Control0..0
                                                                                                  TypeReference(Specimen)
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  352. ServiceRequest.bodySite
                                                                                                  Definition

                                                                                                  Anatomic location where the procedure should be performed. This is the target site.

                                                                                                  ShortLocation 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.

                                                                                                  Control0..0
                                                                                                  BindingFor example codes, see SNOMEDCTBodyStructures
                                                                                                  (example to http://hl7.org/fhir/ValueSet/body-site|4.0.1)

                                                                                                  Codes describing anatomical locations. May include laterality.

                                                                                                  TypeCodeableConcept
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  Knowing where the procedure is performed is important for tracking if multiple sites are possible.

                                                                                                  Alternate Nameslocation
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  354. ServiceRequest.note
                                                                                                  Definition

                                                                                                  Any other notes and comments made about the service request. For example, internal billing notes.

                                                                                                  ShortComments
                                                                                                  Control0..0
                                                                                                  TypeAnnotation
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  356. ServiceRequest.patientInstruction
                                                                                                  Definition

                                                                                                  Instructions in terms that are understood by the patient or consumer.

                                                                                                  ShortInstrukcje dla pacjenta
                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  358. ServiceRequest.relevantHistory
                                                                                                  Definition

                                                                                                  Key events in the history of the request.

                                                                                                  ShortRequest 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.

                                                                                                  Control0..0
                                                                                                  TypeReference(Provenance)
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))