FHIR.MONA.ICU\Mona Senior-Physician-Order

Mona FHIR Implementation Guide
0.4.50648 - ci-build

Mona FHIR Implementation Guide - Local Development build (v0.4.50648). See the Directory of published versions

Resource Profile: Mona Senior-Physician-Order

Defining URL:

https://fhir.mona.icu/StructureDefinition/mona-senior-physician-order

Version:

0.4.50648

Name:

MonaSeniorPhysicianOrder

Title:

Mona Senior-Physician-Order

Status:

Active as of 2023-01-21T19:50:53+00:00

Definition:

The representation of a mona senior-physician-order.

Publisher:

Clinomic

Source Resource:

XML / JSON / Turtle

The official URL for this profile is:

https://fhir.mona.icu/StructureDefinition/mona-senior-physician-order

Formal Views of Profile Content

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

Text Summary
Differential Table
Snapshot Table
Snapshot Table (Must Support)
All

This structure is derived from MonaServiceRequestBase

Summary

Mandatory: 1 element

Slices

This structure defines the following Slices:

The element ServiceRequest.occurrence[x] is sliced based on the value of type:$this

This structure is derived from MonaServiceRequestBase

Name	Card.	Type	Description & Constraints
ServiceRequest	0..*	MonaServiceRequestBase	A request for a service to be performed
Slices for occurrence[x]	0..1	Timing	When service should occur Slice: Unordered, Open by type:$this
occurrenceTiming	0..1	Timing	When service should occur
authoredOn	1..1	dateTime	Date request signed
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	I	0..*	MonaServiceRequestBase	A request for a service to be performed
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
lastChangedBy		0..1	Reference(Practitioner)	Last changed by URL: https://fhir.mona.icu/StructureDefinition/lastChangedBy
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition \| PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan \| ServiceRequest \| MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!Σ	1..1	code	draft \| active \| on-hold \| revoked \| completed \| entered-in-error \| unknown Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal \| plan \| directive \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option Binding: RequestIntent (required): The kind of service request.
category	Σ	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority	Σ	0..1	code	routine \| urgent \| asap \| stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available here.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Plain text representation of the concept
orderDetail	ΣI	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	Σ	1..1	Reference(Patient)	Individual or Entity the service is ordered for
encounter	Σ	1..1	Reference(Encounter)	Encounter in which the request was created
Slices for occurrence[x]	Σ	0..1	Timing	When service should occur Slice: Unordered, Closed by type:$this
occurrence[x]:occurrenceTiming	Σ	0..1	Timing	When service should occur
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	Σ	1..1	dateTime	Date request signed
requester	Σ	1..1	Reference(Practitioner)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| HealthcareService \| Patient \| Device \| RelatedPerson)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	Σ	0..*	Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage \| ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	I	0..*	MonaServiceRequestBase	A request for a service to be performed
meta	Σ	0..1	Meta	Metadata about the resource
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
code	Σ	1..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available here.
text	Σ	1..1	string	Plain text representation of the concept
Documentation for this format

This structure is derived from MonaServiceRequestBase

Summary

Mandatory: 1 element

Slices

This structure defines the following Slices:

The element ServiceRequest.occurrence[x] is sliced based on the value of type:$this

Differential View

This structure is derived from MonaServiceRequestBase

Name	Card.	Type	Description & Constraints
ServiceRequest	0..*	MonaServiceRequestBase	A request for a service to be performed
Slices for occurrence[x]	0..1	Timing	When service should occur Slice: Unordered, Open by type:$this
occurrenceTiming	0..1	Timing	When service should occur
authoredOn	1..1	dateTime	Date request signed
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	I	0..*	MonaServiceRequestBase	A request for a service to be performed
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
lastChangedBy		0..1	Reference(Practitioner)	Last changed by URL: https://fhir.mona.icu/StructureDefinition/lastChangedBy
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition \| PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan \| ServiceRequest \| MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!Σ	1..1	code	draft \| active \| on-hold \| revoked \| completed \| entered-in-error \| unknown Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal \| plan \| directive \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option Binding: RequestIntent (required): The kind of service request.
category	Σ	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority	Σ	0..1	code	routine \| urgent \| asap \| stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available here.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Plain text representation of the concept
orderDetail	ΣI	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	Σ	1..1	Reference(Patient)	Individual or Entity the service is ordered for
encounter	Σ	1..1	Reference(Encounter)	Encounter in which the request was created
Slices for occurrence[x]	Σ	0..1	Timing	When service should occur Slice: Unordered, Closed by type:$this
occurrence[x]:occurrenceTiming	Σ	0..1	Timing	When service should occur
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	Σ	1..1	dateTime	Date request signed
requester	Σ	1..1	Reference(Practitioner)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| HealthcareService \| Patient \| Device \| RelatedPerson)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	Σ	0..*	Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage \| ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet
ServiceRequest.meta.security	extensible	All Security Labels
ServiceRequest.meta.tag	example	CommonTags
ServiceRequest.language	preferred	CommonLanguages Max Binding: AllLanguages
ServiceRequest.status	required	RequestStatus
ServiceRequest.intent	required	RequestIntent
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.priority	required	RequestPriority
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT)
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
ServiceRequest.performerType	example	ParticipantRoles
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	example	ProcedureReasonCodes
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures

Constraints

Id	Path	Details	Requirements
dom-2	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
prr-1	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()
ele-1	ServiceRequest.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.meta.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	ServiceRequest.meta.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	ServiceRequest.meta.versionId	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.meta.lastUpdated	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.meta.source	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.meta.profile	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.meta.security	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.meta.tag	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	ServiceRequest.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	ServiceRequest.extension:lastChangedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	ServiceRequest.extension:lastChangedBy	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	ServiceRequest.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	ServiceRequest.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	ServiceRequest.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.instantiatesCanonical	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.instantiatesUri	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.basedOn	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.replaces	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.requisition	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.intent	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.category	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.priority	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.doNotPerform	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.code.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	ServiceRequest.code.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	ServiceRequest.code.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.code.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.orderDetail	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.quantity[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.subject	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.encounter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.occurrence[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.occurrence[x]:occurrenceTiming	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.asNeeded[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.authoredOn	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.requester	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.performerType	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.performer	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.locationCode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.locationReference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.reasonCode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.reasonReference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.insurance	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.supportingInfo	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.specimen	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.bodySite	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.note	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.patientInstruction	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	ServiceRequest.relevantHistory	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())

IG © 2021+ Clinomic. Package fhir.mona.icu#0.4.50648 based on FHIR 4.0.1. Generated 2023-01-21
Links: Table of Contents | QA Report