Mongolian HDIT Implementation guide
1.0.0 - Review

Mongolian HDIT Implementation guide - Local Development build (v1.0.0). See the Directory of published versions

StructureDefinition: ElectronicReferralMn

A profile used for communicating a request for a medical service by a medical professional within the same, or another organization. Sending a resource conforming to this profile has a special significance to the HIEP which holds responsibility for finalizing an order with the defined performer of the service.

The official URL for this profile is: 

http://fhir.mn/StructureDefinition/mng-referral

Scope and Usage

Background and Context

Formal Views of Profile Content

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

This structure is derived from ServiceRequest

Summary

Mandatory: 11 elements (2 nested mandatory elements)
Must-Support: 36 elements
Fixed Value: 1 element
Prohibited: 23 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element ServiceRequest.extension.value[x] is sliced based on the value of type:$this
  • The element ServiceRequest.identifier is sliced based on the value of value:system

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*ServiceRequestA request for a service to be performed
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:hc-id S0..1ExtensionExtension
.... extension 0..0
.... url 1..1uri"hc-id"
.... value[x] 1..1(Slice Definition)Value of extension
Slice: Unordered, Open by type:$this
.... valueString S1..1stringхолбоосын дугаар
... identifier S1..*(Slice Definition)Identifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:All Slices Content/Rules for all slices
..... type S1..1CodeableConceptDescription of identifier
..... value S1..1stringThe value that is unique
.... identifier:e-refeferral-number 1..1IdentifierIdentifiers assigned to this order
..... type 0..1CodeableConceptDescription of identifier
...... coding 0..*CodingCode defined by a terminology system
....... code 0..1codeSymbol in syntax defined by the system
Required Pattern: EREFNO
....... display 0..1stringRepresentation defined by the system
Required Pattern: Цахим шилжүүлэг №
... instantiatesCanonical S0..0
... instantiatesUri S0..0
... basedOn S0..0
... replaces S0..0
... requisition S0..0
... status S1..1codedraft | active | revoked | completed
Binding: Statuses for e-referrals (required)
... category S1..*CodeableConceptClassification of service
Binding: Categories for e-referral (required)
.... extension 1..*ExtensionExtension
.... category-details S1..1(Complex)Extension
URL: http://fhir.mn/StructureDefinition/category-details
..... extension:reason-detail 1..1ExtensionExtension
..... extension:comment 0..1ExtensionExtension
... priority S0..1coderoutine | urgent | asap | stat
... doNotPerform S0..0
... code S0..0
... orderDetail S0..0
... quantity[x] S0..0
... subject S1..1Reference(PatientMn)Individual or Entity the service is ordered for
... encounter S1..1Reference(Encounter-mn)Encounter in which the request was created
... occurrence[x] S0..0
... asNeeded[x] S0..0
... requester S1..1Reference(PractitionerRoleMn)Who/what is requesting service
... performerType S0..0
... performer S1..*Reference(OrganizationMn | OrganizationDepartmentMn)Requested performer
... locationCode S0..0
... locationReference S0..0
... reasonCode S1..*CodeableConceptExplanation/Justification for procedure or service
... reasonReference S0..0
... insurance S0..0
... supportingInfo S0..0
... specimen S0..0
... bodySite S0..0
... note S0..0
... patientInstruction S0..0
... relevantHistory S0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest I0..*ServiceRequestA request for a service to be performed
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:hc-id SI0..1ExtensionExtension
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..0
.... url 1..1uri"hc-id"
.... value[x] I1..1(Slice Definition)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueString SI1..1stringхолбоосын дугаар
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier SΣI1..*(Slice Definition)Identifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!ΣI0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type SΣI1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
..... system ΣI0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣI1..1stringThe value that is unique
Example General: 123456
..... period ΣI0..1PeriodTime period when id is/was valid for use
..... assigner ΣI0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:e-refeferral-number ΣI1..1IdentifierIdentifiers assigned to this order
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!ΣI0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type ΣI0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding ΣI0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system ΣI0..1uriIdentity of the terminology system
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI0..1codeSymbol in syntax defined by the system
Required Pattern: EREFNO
....... display ΣI0..1stringRepresentation defined by the system
Required Pattern: Цахим шилжүүлэг №
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
...... text ΣI0..1stringPlain text representation of the concept
..... system ΣI0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value ΣI0..1stringThe value that is unique
Example General: 123456
..... period ΣI0..1PeriodTime period when id is/was valid for use
..... assigner ΣI0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!SΣI1..1codedraft | active | revoked | completed
Binding: Statuses for e-referrals (required)
... intent ?!ΣI1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... category SΣI1..*CodeableConceptClassification of service
Binding: Categories for e-referral (required)
.... id 0..1stringUnique id for inter-element referencing
.... extension I1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... category-details SI1..1(Complex)Extension
URL: http://fhir.mn/StructureDefinition/category-details
..... extension SI2..2ExtensionExtension
Slice: Unordered, Closed by value:url
...... extension:reason-detail I1..1ExtensionExtension
....... extension I0..0
....... url 1..1uri"reason-detail"
....... value[x] I1..1(Slice Definition)Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueCoding SI1..1CodingValue of extension
...... extension:comment I0..1ExtensionExtension
....... extension I0..0
....... url 1..1uri"comment"
....... value[x] I0..1(Slice Definition)Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueString SI0..1stringValue of extension
...... patientAge I1..1stringExtension
URL: http://fhir.mn/StructureDefinition/patientAge
..... url 1..1uri"http://fhir.mn/StructureDefinition/category-details"
.... coding ΣI0..*CodingCode defined by a terminology system
.... text ΣI0..1stringPlain text representation of the concept
... priority SΣI0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required)
... subject SΣI1..1Reference(PatientMn)Individual or Entity the service is ordered for
... encounter SΣI1..1Reference(Encounter-mn)Encounter in which the request was created
... authoredOn ΣI0..1dateTimeDate request signed
... requester SΣI1..1Reference(PractitionerRoleMn)Who/what is requesting service
... performer SΣI1..*Reference(OrganizationMn | OrganizationDepartmentMn)Requested performer
... reasonCode SΣI1..*CodeableConceptExplanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example)

doco Documentation for this format

This structure is derived from ServiceRequest

Summary

Mandatory: 11 elements (2 nested mandatory elements)
Must-Support: 36 elements
Fixed Value: 1 element
Prohibited: 23 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element ServiceRequest.extension.value[x] is sliced based on the value of type:$this
  • The element ServiceRequest.identifier is sliced based on the value of value:system

Differential View

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*ServiceRequestA request for a service to be performed
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:hc-id S0..1ExtensionExtension
.... extension 0..0
.... url 1..1uri"hc-id"
.... value[x] 1..1(Slice Definition)Value of extension
Slice: Unordered, Open by type:$this
.... valueString S1..1stringхолбоосын дугаар
... identifier S1..*(Slice Definition)Identifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:All Slices Content/Rules for all slices
..... type S1..1CodeableConceptDescription of identifier
..... value S1..1stringThe value that is unique
.... identifier:e-refeferral-number 1..1IdentifierIdentifiers assigned to this order
..... type 0..1CodeableConceptDescription of identifier
...... coding 0..*CodingCode defined by a terminology system
....... code 0..1codeSymbol in syntax defined by the system
Required Pattern: EREFNO
....... display 0..1stringRepresentation defined by the system
Required Pattern: Цахим шилжүүлэг №
... instantiatesCanonical S0..0
... instantiatesUri S0..0
... basedOn S0..0
... replaces S0..0
... requisition S0..0
... status S1..1codedraft | active | revoked | completed
Binding: Statuses for e-referrals (required)
... category S1..*CodeableConceptClassification of service
Binding: Categories for e-referral (required)
.... extension 1..*ExtensionExtension
.... category-details S1..1(Complex)Extension
URL: http://fhir.mn/StructureDefinition/category-details
..... extension:reason-detail 1..1ExtensionExtension
..... extension:comment 0..1ExtensionExtension
... priority S0..1coderoutine | urgent | asap | stat
... doNotPerform S0..0
... code S0..0
... orderDetail S0..0
... quantity[x] S0..0
... subject S1..1Reference(PatientMn)Individual or Entity the service is ordered for
... encounter S1..1Reference(Encounter-mn)Encounter in which the request was created
... occurrence[x] S0..0
... asNeeded[x] S0..0
... requester S1..1Reference(PractitionerRoleMn)Who/what is requesting service
... performerType S0..0
... performer S1..*Reference(OrganizationMn | OrganizationDepartmentMn)Requested performer
... locationCode S0..0
... locationReference S0..0
... reasonCode S1..*CodeableConceptExplanation/Justification for procedure or service
... reasonReference S0..0
... insurance S0..0
... supportingInfo S0..0
... specimen S0..0
... bodySite S0..0
... note S0..0
... patientInstruction S0..0
... relevantHistory S0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest I0..*ServiceRequestA request for a service to be performed
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:hc-id SI0..1ExtensionExtension
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..0
.... url 1..1uri"hc-id"
.... value[x] I1..1(Slice Definition)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueString SI1..1stringхолбоосын дугаар
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier SΣI1..*(Slice Definition)Identifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!ΣI0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type SΣI1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
..... system ΣI0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣI1..1stringThe value that is unique
Example General: 123456
..... period ΣI0..1PeriodTime period when id is/was valid for use
..... assigner ΣI0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:e-refeferral-number ΣI1..1IdentifierIdentifiers assigned to this order
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!ΣI0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type ΣI0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding ΣI0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system ΣI0..1uriIdentity of the terminology system
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI0..1codeSymbol in syntax defined by the system
Required Pattern: EREFNO
....... display ΣI0..1stringRepresentation defined by the system
Required Pattern: Цахим шилжүүлэг №
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
...... text ΣI0..1stringPlain text representation of the concept
..... system ΣI0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value ΣI0..1stringThe value that is unique
Example General: 123456
..... period ΣI0..1PeriodTime period when id is/was valid for use
..... assigner ΣI0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!SΣI1..1codedraft | active | revoked | completed
Binding: Statuses for e-referrals (required)
... intent ?!ΣI1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... category SΣI1..*CodeableConceptClassification of service
Binding: Categories for e-referral (required)
.... id 0..1stringUnique id for inter-element referencing
.... extension I1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... category-details SI1..1(Complex)Extension
URL: http://fhir.mn/StructureDefinition/category-details
..... extension SI2..2ExtensionExtension
Slice: Unordered, Closed by value:url
...... extension:reason-detail I1..1ExtensionExtension
....... extension I0..0
....... url 1..1uri"reason-detail"
....... value[x] I1..1(Slice Definition)Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueCoding SI1..1CodingValue of extension
...... extension:comment I0..1ExtensionExtension
....... extension I0..0
....... url 1..1uri"comment"
....... value[x] I0..1(Slice Definition)Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueString SI0..1stringValue of extension
...... patientAge I1..1stringExtension
URL: http://fhir.mn/StructureDefinition/patientAge
..... url 1..1uri"http://fhir.mn/StructureDefinition/category-details"
.... coding ΣI0..*CodingCode defined by a terminology system
.... text ΣI0..1stringPlain text representation of the concept
... priority SΣI0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required)
... subject SΣI1..1Reference(PatientMn)Individual or Entity the service is ordered for
... encounter SΣI1..1Reference(Encounter-mn)Encounter in which the request was created
... authoredOn ΣI0..1dateTimeDate request signed
... requester SΣI1..1Reference(PractitionerRoleMn)Who/what is requesting service
... performer SΣI1..*Reference(OrganizationMn | OrganizationDepartmentMn)Requested performer
... reasonCode SΣI1..*CodeableConceptExplanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example)

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

Terminology Bindings

PathConformanceValueSet
ServiceRequest.languagepreferredCommonLanguages
Max Binding: AllLanguages
ServiceRequest.identifier.userequiredIdentifierUse
ServiceRequest.identifier.typeextensibleIdentifier Type Codes
ServiceRequest.identifier:e-refeferral-number.userequiredIdentifierUse
ServiceRequest.identifier:e-refeferral-number.typeextensibleIdentifier Type Codes
ServiceRequest.statusrequiredElectronicReferralStatus
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.categoryrequiredEreferralCategoryVS
ServiceRequest.priorityrequiredRequestPriority
ServiceRequest.reasonCodeexampleProcedureReasonCodes

Constraints

Constraints

IdPathDetailsRequirements

Overview of electronic referral scenario

​Practitioner (Requester)Practitioner (Requester)EMREMRNationalPatientRegistryNationalPatientRegistryHIEPHIEPPerformer EMRPerformer EMRPractitioner (Performer)Practitioner (Performer)Request patient information1Get Patient2/Patient/?identifier={system}|{code(id)}Add specific searchparameters for differenttypes of identifiers?3Patient4PatientGet list of available slots5Show available times6GET /Slot/?specialty={specialty}&start={date}Endpoint discoveryis not addressed here.7GET /Slot/?specialty={specialty}&start={date}8SlotMn[]9SlotMn[]10List of availabletimes and servicesBook appointment11Book appointment12POST /Appointment(ElectronicReferralAppointmentMn)Ideally the Service request would be sentto a request dispatcher from which clinicscan retrieve and book against.In that way a referral is not locked to a singularclinic.13POST /Appointment(ElectronicReferralAppointmentMn)14ElectronicReferralAppointmentMn15ElectronicReferralAppointmentMn16POST /ServiceRequest(ElectronicReferralMn)17POST /ServiceRequest(ElectronicReferralMn)18ElectronicReferralMn19ElectronicReferralMn20ConfirmationPost-consultation21Document consultation22POST /Composition(EmergencyCareNote|InpatientDischargeSummary|OutpatientCareSummary)23POST /Composition(EmergencyCareNote|InpatientDischargeSummary|OutpatientCareSummary)2425(Optional) Notify