ProcedureRequest resource implementation guidance
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ProcedureRequest: Implementation Guidance
Usage
Within the Clinical Decision Support API implementation, the ProcedureRequest resource will be used to carry the next activity as part of the triage outcome model.
The ProcedureRequest is referenced from ReferralRequest.supportingInfo and will be the diagnostic discriminator, or service requirement; diagnostic discriminator is a description of the next procedure which SHOULD be carried out in the referee service to validate or eliminate the chief concern.
Detailed implementation guidance for a ProcedureRequest within the scope of this implementation guide is given below:
| Name | Cardinality | Type | FHIR Documentation | CDS Implementation Guidance |
|---|---|---|---|---|
identifier |
0..1 |
Identifier | Identifiers assigned to this order | |
definition |
0..* |
Reference (ActivityDefinition | PlanDefinition) |
Protocol or definition | |
basedOn |
0..* |
Reference (Any) |
What request fulfils | This MUST NOT be populated. |
replaces |
0..* |
Reference (Any) |
What request replaces | |
requisition |
0..1 |
Identifier | Composite Request ID | This MUST NOT be populated. |
status |
1..1 |
code | draft | active | suspended | completed | entered-in-error | cancelled RequestStatus (Required) | This MUST be populated with the same value as ReferralRequest.status |
intent |
1..1 |
code | proposal | plan | order + RequestIntent (Required) | This MUST be populated with the same value as ReferralRequest.intent
|
priority |
0..1 |
code | routine | |
This MUST be populated with 'routine'. |
doNotPerform |
0..1 |
boolean | True if procedure should not be performed | This MUST be 'false' |
category |
0..* |
CodeableConcept | Classification of procedure Procedure Category Codes (SNOMED CT) (Example) | This SHOULD NOT be populated |
code |
1..1 |
CodeableConcept | What is being requested/ordered Procedure Codes (SNOMED CT) (Example) | This MUST be populated by the CDSS with a code that identifies the particular procedure which has been requested. |
subject |
1..1 |
Reference (Patient | Group | Location | Device) |
Individual the service is ordered for | This MUST be populated with a reference to the Patient resource. |
context |
0..1 |
Reference (Encounter | EpisodeOfCare) |
Encounter or Episode during which request was created | This MUST be populated with a reference to the Encounter supplied in the ServiceDefinition.$evaluate operation. |
occurrence[x] |
0..1 |
dateTime | Period | Timing |
When procedure should occur | This MUST be populated with the same value as ReferralRequest.occurrence
|
asNeeded[x] |
0..1 |
boolean | CodeableConcept |
Preconditions for procedure or diagnostic SNOMED CT Medication As Needed Reason Codes (Example) | This MUST NOT be populated |
authoredOn |
0..1 |
dateTime | Date request signed | This MUST NOT be populated |
requester |
0..1 |
BackboneElement | Who/what is requesting procedure or diagnostic | This MUST NOT be populated |
performerType |
0..1 |
CodeableConcept | Performer role Participant Roles (Example) | This MAY be populated |
performer |
0..1 |
Reference (Practitioner | Organization | Patient | Device | RelatedPerson | HealthcareService) |
Requested perfomer | This MAY be populated |
reasonCode |
0..* |
CodeableConcept | Explanation/Justification for test Procedure Reason Codes (Example) | This MUST not be populated |
reasonReference |
0..* |
Reference (Condition | Observation) |
Explanation/Justification for test | This MUST be populated with the same value as ReferralRequest.reasonReference
|
supportingInfo |
0..* |
Reference (Any) |
Additional clinical information | This MUST be populated with the same value as ReferralRequest.supportinInfo
|
specimen |
0..* |
Reference (Specimen) |
Procedure Samples | This MUST NOT be populated |
bodySite |
0..* |
CodeableConcept | Location on Body SNOMED CT Body Structures (Example) | This MAY be populated |
note |
0..* |
Annotation | Comments | This MUST NOT be populated |
relevantHistory |
0..* |
Reference (Provenance) |
Request provenance | This MUST be populated with the same value as ReferralRequest.relevantHistory
|
