Cross-Version Extension for ProcedureRequest.doNotPerform in R3

Context of Use

This extension may be used in the following contexts:

• element DiagnosticOrder (For version R2)
• extension http://hl7.org/fhir/1.0/StructureDefinition/extension-DiagnosticOrder
• element DiagnosticOrder.item (For version R2)
• extension http://hl7.org/fhir/1.0/StructureDefinition/extension-DiagnosticOrder.item
• element ProcedureRequest (For version R2)
• extension http://hl7.org/fhir/1.0/StructureDefinition/extension-ProcedureRequest

Name	Flags	Card.	Type	Description & Constraints
Extension	?!	0..1	Extension	True if procedure should not be performed
extension		..0
value[x]		1..	boolean
url				"http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcedureRequest.doNotPerform"
Documentation for this format

{
  "resourceType" : "StructureDefinition",
  "id" : "xv-r3-pcrq.doNotPerform",
  "url" : "http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcedureRequest.doNotPerform",
  "name" : "XVerExtensionProcedureRequest.doNotPerformR3",
  "title" : "Cross-Version Extension for ProcedureRequest.doNotPerform in R3",
  "status" : "active",
  "experimental" : false,
  "publisher" : "Health Level Seven International (Orders and Observations)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
    }]
  }],
  "description" : "Cross-Version Extension for ProcedureRequest.doNotPerform. Valid in versions R2\r\n\r\nThis is a valid cross-version extension because it's counted as a new element",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "fhirVersion" : "5.0.0",
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [{
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "1.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "1.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "DiagnosticOrder"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-DiagnosticOrder"
  },
  {
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "1.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "1.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "DiagnosticOrder.item"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-DiagnosticOrder.item"
  },
  {
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "1.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "1.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "ProcedureRequest"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ProcedureRequest"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "path" : "Extension",
      "short" : "True if procedure should not be performed",
      "definition" : "Set this to true if the record is saying that the procedure should NOT be performed.",
      "comment" : "This element is labeled as a [modifier](conformance-rules.html#isModifier.html) because it indicates that a procedure shouldn't happen, instead of a request for it to happen.  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 ProcedureRequest.code and ProcedureRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation.",
      "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.",
      "min" : 0,
      "max" : "1",
      "isModifier" : true,
      "isModifierReason" : "No Modifier Reason provideed in previous versions of FHIR",
      "mapping" : [{
        "identity" : "rim",
        "map" : ".actionNegationInd"
      }]
    },
    {
      "path" : "Extension.extension",
      "max" : "0"
    },
    {
      "path" : "Extension.value[x]",
      "min" : 1,
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "path" : "Extension.url",
      "fixedUri" : "http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcedureRequest.doNotPerform"
    }]
  }
}