Release 5 Preview #3

This page is part of the FHIR Specification (v4.5.0: R5 Preview #3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

12.25 Resource SupplyRequest - Content

Orders and Observations

Work Group

Maturity Level: 1

Trial Use

Security Category: Patient

Compartments: Device, Patient, Practitioner, RelatedPerson

A record of a request for a medication, substance or device used in the healthcare setting.

12.25.1 Scope and Usage

Trial-Use Note: In terms of scope and usage, the Orders and Observations workgroups wish to draw the attention of reviewers and implementers to the following issues and changes.

We are seeking input from the implementation community on whether to combine SupplyRequest and DeviceRequest for R4.

The parameters element was added to SupplyRequest for representing custom details for ordering devices.

Feedback is welcome here

This resource is a request resource from a FHIR workflow perspective - see Workflow. It is the intent of the Orders and Observation Workgroup to align this resource with the workflow pattern for request resources.

The scope of the SupplyRequest resource is for recording the request of supplies used in the healthcare process. This includes supplies specifically used in the treatment of patients as well as supply movement within an institution (transport a set of supplies from materials management to a service unit (nurse station). This resource does not include the provisioning of transportation services.

The SupplyRequest resource allows requesting only a single item. If a workflow requires requesting multiple items simultaneously, this is done using multiple instances of this resource. These instances can be linked in different ways, depending on the needs of the workflow. For guidance, refer to the Request pattern

12.25.2 Boundaries and Relationships

Note that the SupplyRequest records the fact that a request was made. To actually act on that request, additional workflow beyond simply the existence of a SupplyRequest is required. This can be achieved by using an Task resource, with the SupplyRequest referenced from the Task.focus, or by using the SupplyRequest resource in the context of an messaging or service workflow where the request is explicit or implicit. The SupplyDelivery resource represents the fulfillment as a result of SupplyRequest being acted upon.

The SupplyRequest resource is used for inventory management. When requesting medication, substances and devices when there is a patient focus or instructions regarding their use, DeviceRequest or MedicationRequest should be used instead

12.25.3 References

This resource is referenced by SupplyDelivery.

This resource implements the Request pattern.

Structure

Name	Flags	Card.	Type	Description & Constraints
SupplyRequest	TU		DomainResource	Request for a medication, substance or device Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier	Σ	0..*	Identifier	Business Identifier for SupplyRequest
status	?!Σ	0..1	code	draft \| active \| suspended + SupplyRequestStatus (Required)
category	Σ	0..1	CodeableConcept	The kind of supply (central, non-stock, etc.) Supply Type (Example)
priority	Σ	0..1	code	routine \| urgent \| asap \| stat Request priority (Required)
item	Σ	1..1	CodeableReference(Medication \| Substance \| Device \| DeviceDefinition)	Medication, Substance, or Device requested to be supplied SNOMED CT Supply Item (Example)
quantity	Σ	1..1	Quantity	The requested amount of the item indicated
parameter		0..*	BackboneElement	Ordered item details
code		0..1	CodeableConcept	Item detail
value[x]		0..1		Value of detail
valueCodeableConcept			CodeableConcept
valueQuantity			Quantity
valueRange			Range
valueBoolean			boolean
occurrence[x]	Σ	0..1		When the request should be fulfilled
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	Σ	0..1	dateTime	When the request was made
requester	Σ	0..1	Reference(Practitioner \| PractitionerRole \| Organization \| Patient \| RelatedPerson \| Device)	Individual making the request
supplier	Σ	0..*	Reference(Organization \| HealthcareService)	Who is intended to fulfill the request
reason		0..*	CodeableReference(Condition \| Observation \| DiagnosticReport \| DocumentReference)	The reason why the supply item was requested SupplyRequestReason (Example)
deliverFrom		0..1	Reference(Organization \| Location)	The origin of the supply
deliverTo		0..1	Reference(Organization \| Location \| Patient)	The destination of the supply
Documentation for this format

UML Diagram (Legend)

XML Template

<SupplyRequest xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business Identifier for SupplyRequest --></identifier>
 <status value="[code]"/><!-- 0..1 draft | active | suspended + -->
 <category><!-- 0..1 CodeableConcept The kind of supply (central, non-stock, etc.) --></category>
 <priority value="[code]"/><!-- 0..1 routine | urgent | asap | stat -->
 <item><!-- 1..1 CodeableReference(Device|DeviceDefinition|Medication|Substance) Medication, Substance, or Device requested to be supplied --></item>
 <quantity><!-- 1..1 Quantity The requested amount of the item indicated --></quantity>
 <parameter>  <!-- 0..* Ordered item details -->
  <code><!-- 0..1 CodeableConcept Item detail --></code>
  <value[x]><!-- 0..1 CodeableConcept|Quantity|Range|boolean Value of detail --></value[x]>
 </parameter>
 <occurrence[x]><!-- 0..1 dateTime|Period|Timing When the request should be fulfilled --></occurrence[x]>
 <authoredOn value="[dateTime]"/><!-- 0..1 When the request was made -->
 <requester><!-- 0..1 Reference(Device|Organization|Patient|Practitioner|
   PractitionerRole|RelatedPerson) Individual making the request --></requester>
 <supplier><!-- 0..* Reference(HealthcareService|Organization) Who is intended to fulfill the request --></supplier>
 <reason><!-- 0..* CodeableReference(Condition|DiagnosticReport|DocumentReference|
   Observation) The reason why the supply item was requested --></reason>
 <deliverFrom><!-- 0..1 Reference(Location|Organization) The origin of the supply --></deliverFrom>
 <deliverTo><!-- 0..1 Reference(Location|Organization|Patient) The destination of the supply --></deliverTo>
</SupplyRequest>

JSON Template

{
  "resourceType" : "SupplyRequest",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Business Identifier for SupplyRequest
  "status" : "<code>", // draft | active | suspended +
  "category" : { CodeableConcept }, // The kind of supply (central, non-stock, etc.)
  "priority" : "<code>", // routine | urgent | asap | stat
  "item" : { CodeableReference(Device|DeviceDefinition|Medication|Substance) }, // R!  Medication, Substance, or Device requested to be supplied
  "quantity" : { Quantity }, // R!  The requested amount of the item indicated
  "parameter" : [{ // Ordered item details
    "code" : { CodeableConcept }, // Item detail
    // value[x]: Value of detail. One of these 4:
    "valueCodeableConcept" : { CodeableConcept }
    "valueQuantity" : { Quantity }
    "valueRange" : { Range }
    "valueBoolean" : <boolean>
  }],
  // occurrence[x]: When the request should be fulfilled. One of these 3:
  "occurrenceDateTime" : "<dateTime>",
  "occurrencePeriod" : { Period },
  "occurrenceTiming" : { Timing },
  "authoredOn" : "<dateTime>", // When the request was made
  "requester" : { Reference(Device|Organization|Patient|Practitioner|
   PractitionerRole|RelatedPerson) }, // Individual making the request
  "supplier" : [{ Reference(HealthcareService|Organization) }], // Who is intended to fulfill the request
  "reason" : [{ CodeableReference(Condition|DiagnosticReport|DocumentReference|
   Observation) }], // The reason why the supply item was requested
  "deliverFrom" : { Reference(Location|Organization) }, // The origin of the supply
  "deliverTo" : { Reference(Location|Organization|Patient) } // The destination of the supply
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:SupplyRequest;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:SupplyRequest.identifier [ Identifier ], ... ; # 0..* Business Identifier for SupplyRequest
  fhir:SupplyRequest.status [ code ]; # 0..1 draft | active | suspended +
  fhir:SupplyRequest.category [ CodeableConcept ]; # 0..1 The kind of supply (central, non-stock, etc.)
  fhir:SupplyRequest.priority [ code ]; # 0..1 routine | urgent | asap | stat
  fhir:SupplyRequest.item [ CodeableReference(Device|DeviceDefinition|Medication|Substance) ]; # 1..1 Medication, Substance, or Device requested to be supplied
  fhir:SupplyRequest.quantity [ Quantity ]; # 1..1 The requested amount of the item indicated
  fhir:SupplyRequest.parameter [ # 0..* Ordered item details
    fhir:SupplyRequest.parameter.code [ CodeableConcept ]; # 0..1 Item detail
    # SupplyRequest.parameter.value[x] : 0..1 Value of detail. One of these 4
      fhir:SupplyRequest.parameter.valueCodeableConcept [ CodeableConcept ]
      fhir:SupplyRequest.parameter.valueQuantity [ Quantity ]
      fhir:SupplyRequest.parameter.valueRange [ Range ]
      fhir:SupplyRequest.parameter.valueBoolean [ boolean ]
  ], ...;
  # SupplyRequest.occurrence[x] : 0..1 When the request should be fulfilled. One of these 3
    fhir:SupplyRequest.occurrenceDateTime [ dateTime ]
    fhir:SupplyRequest.occurrencePeriod [ Period ]
    fhir:SupplyRequest.occurrenceTiming [ Timing ]
  fhir:SupplyRequest.authoredOn [ dateTime ]; # 0..1 When the request was made
  fhir:SupplyRequest.requester [ Reference(Device|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ]; # 0..1 Individual making the request
  fhir:SupplyRequest.supplier [ Reference(HealthcareService|Organization) ], ... ; # 0..* Who is intended to fulfill the request
  fhir:SupplyRequest.reason [ CodeableReference(Condition|DiagnosticReport|DocumentReference|Observation) ], ... ; # 0..* The reason why the supply item was requested
  fhir:SupplyRequest.deliverFrom [ Reference(Location|Organization) ]; # 0..1 The origin of the supply
  fhir:SupplyRequest.deliverTo [ Reference(Location|Organization|Patient) ]; # 0..1 The destination of the supply
]

Changes since R3

SupplyRequest

SupplyRequest.status

Change value set from http://hl7.org/fhir/ValueSet/supplyrequest-status|4.0.0 to http://hl7.org/fhir/ValueSet/supplyrequest-status|4.5.0

SupplyRequest.priority

Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.5.0

SupplyRequest.item

Added Mandatory Element

SupplyRequest.reason

Added Element

SupplyRequest.item[x]

deleted

SupplyRequest.reasonCode

deleted

SupplyRequest.reasonReference

deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

See R3 <--> R4 Conversion Maps (status = 1 test that all execute ok. All tests pass round-trip testing and 1 r3 resources are invalid (0 errors).)

Structure

Name	Flags	Card.	Type	Description & Constraints
SupplyRequest	TU		DomainResource	Request for a medication, substance or device Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier	Σ	0..*	Identifier	Business Identifier for SupplyRequest
status	?!Σ	0..1	code	draft \| active \| suspended + SupplyRequestStatus (Required)
category	Σ	0..1	CodeableConcept	The kind of supply (central, non-stock, etc.) Supply Type (Example)
priority	Σ	0..1	code	routine \| urgent \| asap \| stat Request priority (Required)
item	Σ	1..1	CodeableReference(Medication \| Substance \| Device \| DeviceDefinition)	Medication, Substance, or Device requested to be supplied SNOMED CT Supply Item (Example)
quantity	Σ	1..1	Quantity	The requested amount of the item indicated
parameter		0..*	BackboneElement	Ordered item details
code		0..1	CodeableConcept	Item detail
value[x]		0..1		Value of detail
valueCodeableConcept			CodeableConcept
valueQuantity			Quantity
valueRange			Range
valueBoolean			boolean
occurrence[x]	Σ	0..1		When the request should be fulfilled
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	Σ	0..1	dateTime	When the request was made
requester	Σ	0..1	Reference(Practitioner \| PractitionerRole \| Organization \| Patient \| RelatedPerson \| Device)	Individual making the request
supplier	Σ	0..*	Reference(Organization \| HealthcareService)	Who is intended to fulfill the request
reason		0..*	CodeableReference(Condition \| Observation \| DiagnosticReport \| DocumentReference)	The reason why the supply item was requested SupplyRequestReason (Example)
deliverFrom		0..1	Reference(Organization \| Location)	The origin of the supply
deliverTo		0..1	Reference(Organization \| Location \| Patient)	The destination of the supply
Documentation for this format

UML Diagram (Legend)

XML Template

<SupplyRequest xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business Identifier for SupplyRequest --></identifier>
 <status value="[code]"/><!-- 0..1 draft | active | suspended + -->
 <category><!-- 0..1 CodeableConcept The kind of supply (central, non-stock, etc.) --></category>
 <priority value="[code]"/><!-- 0..1 routine | urgent | asap | stat -->
 <item><!-- 1..1 CodeableReference(Device|DeviceDefinition|Medication|Substance) Medication, Substance, or Device requested to be supplied --></item>
 <quantity><!-- 1..1 Quantity The requested amount of the item indicated --></quantity>
 <parameter>  <!-- 0..* Ordered item details -->
  <code><!-- 0..1 CodeableConcept Item detail --></code>
  <value[x]><!-- 0..1 CodeableConcept|Quantity|Range|boolean Value of detail --></value[x]>
 </parameter>
 <occurrence[x]><!-- 0..1 dateTime|Period|Timing When the request should be fulfilled --></occurrence[x]>
 <authoredOn value="[dateTime]"/><!-- 0..1 When the request was made -->
 <requester><!-- 0..1 Reference(Device|Organization|Patient|Practitioner|
   PractitionerRole|RelatedPerson) Individual making the request --></requester>
 <supplier><!-- 0..* Reference(HealthcareService|Organization) Who is intended to fulfill the request --></supplier>
 <reason><!-- 0..* CodeableReference(Condition|DiagnosticReport|DocumentReference|
   Observation) The reason why the supply item was requested --></reason>
 <deliverFrom><!-- 0..1 Reference(Location|Organization) The origin of the supply --></deliverFrom>
 <deliverTo><!-- 0..1 Reference(Location|Organization|Patient) The destination of the supply --></deliverTo>
</SupplyRequest>

JSON Template

{
  "resourceType" : "SupplyRequest",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Business Identifier for SupplyRequest
  "status" : "<code>", // draft | active | suspended +
  "category" : { CodeableConcept }, // The kind of supply (central, non-stock, etc.)
  "priority" : "<code>", // routine | urgent | asap | stat
  "item" : { CodeableReference(Device|DeviceDefinition|Medication|Substance) }, // R!  Medication, Substance, or Device requested to be supplied
  "quantity" : { Quantity }, // R!  The requested amount of the item indicated
  "parameter" : [{ // Ordered item details
    "code" : { CodeableConcept }, // Item detail
    // value[x]: Value of detail. One of these 4:
    "valueCodeableConcept" : { CodeableConcept }
    "valueQuantity" : { Quantity }
    "valueRange" : { Range }
    "valueBoolean" : <boolean>
  }],
  // occurrence[x]: When the request should be fulfilled. One of these 3:
  "occurrenceDateTime" : "<dateTime>",
  "occurrencePeriod" : { Period },
  "occurrenceTiming" : { Timing },
  "authoredOn" : "<dateTime>", // When the request was made
  "requester" : { Reference(Device|Organization|Patient|Practitioner|
   PractitionerRole|RelatedPerson) }, // Individual making the request
  "supplier" : [{ Reference(HealthcareService|Organization) }], // Who is intended to fulfill the request
  "reason" : [{ CodeableReference(Condition|DiagnosticReport|DocumentReference|
   Observation) }], // The reason why the supply item was requested
  "deliverFrom" : { Reference(Location|Organization) }, // The origin of the supply
  "deliverTo" : { Reference(Location|Organization|Patient) } // The destination of the supply
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:SupplyRequest;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:SupplyRequest.identifier [ Identifier ], ... ; # 0..* Business Identifier for SupplyRequest
  fhir:SupplyRequest.status [ code ]; # 0..1 draft | active | suspended +
  fhir:SupplyRequest.category [ CodeableConcept ]; # 0..1 The kind of supply (central, non-stock, etc.)
  fhir:SupplyRequest.priority [ code ]; # 0..1 routine | urgent | asap | stat
  fhir:SupplyRequest.item [ CodeableReference(Device|DeviceDefinition|Medication|Substance) ]; # 1..1 Medication, Substance, or Device requested to be supplied
  fhir:SupplyRequest.quantity [ Quantity ]; # 1..1 The requested amount of the item indicated
  fhir:SupplyRequest.parameter [ # 0..* Ordered item details
    fhir:SupplyRequest.parameter.code [ CodeableConcept ]; # 0..1 Item detail
    # SupplyRequest.parameter.value[x] : 0..1 Value of detail. One of these 4
      fhir:SupplyRequest.parameter.valueCodeableConcept [ CodeableConcept ]
      fhir:SupplyRequest.parameter.valueQuantity [ Quantity ]
      fhir:SupplyRequest.parameter.valueRange [ Range ]
      fhir:SupplyRequest.parameter.valueBoolean [ boolean ]
  ], ...;
  # SupplyRequest.occurrence[x] : 0..1 When the request should be fulfilled. One of these 3
    fhir:SupplyRequest.occurrenceDateTime [ dateTime ]
    fhir:SupplyRequest.occurrencePeriod [ Period ]
    fhir:SupplyRequest.occurrenceTiming [ Timing ]
  fhir:SupplyRequest.authoredOn [ dateTime ]; # 0..1 When the request was made
  fhir:SupplyRequest.requester [ Reference(Device|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ]; # 0..1 Individual making the request
  fhir:SupplyRequest.supplier [ Reference(HealthcareService|Organization) ], ... ; # 0..* Who is intended to fulfill the request
  fhir:SupplyRequest.reason [ CodeableReference(Condition|DiagnosticReport|DocumentReference|Observation) ], ... ; # 0..* The reason why the supply item was requested
  fhir:SupplyRequest.deliverFrom [ Reference(Location|Organization) ]; # 0..1 The origin of the supply
  fhir:SupplyRequest.deliverTo [ Reference(Location|Organization|Patient) ]; # 0..1 The destination of the supply
]

Changes since Release 3

SupplyRequest

SupplyRequest.status

Change value set from http://hl7.org/fhir/ValueSet/supplyrequest-status|4.0.0 to http://hl7.org/fhir/ValueSet/supplyrequest-status|4.5.0

SupplyRequest.priority

Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.5.0

SupplyRequest.item

Added Mandatory Element

SupplyRequest.reason

Added Element

SupplyRequest.item[x]

deleted

SupplyRequest.reasonCode

deleted

SupplyRequest.reasonReference

deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

See R3 <--> R4 Conversion Maps (status = 1 test that all execute ok. All tests pass round-trip testing and 1 r3 resources are invalid (0 errors).)

See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis a

12.25.4.1 Terminology Bindings

Path	Definition	Type	Reference
SupplyRequest.status	Status of the supply request.	Required	SupplyRequestStatus
SupplyRequest.category	Category of supply request.	Example	SupplyType
SupplyRequest.priority	Identifies the level of importance to be assigned to actioning the request.	Required	RequestPriority
SupplyRequest.item	The item that was requested.	Example	SNOMEDCTSupplyItem
SupplyRequest.parameter.code	A code that identifies the device detail.	Unknown	No details provided yet
SupplyRequest.reason	The reason why the supply item was requested.	Example	SupplyRequestReason

Path

Definition

Type

Reference

SupplyRequest.status

Status of the supply request.

Required

SupplyRequestStatus

SupplyRequest.category

Category of supply request.

Example

SupplyType

SupplyRequest.priority

Identifies the level of importance to be assigned to actioning the request.

Required

RequestPriority

SupplyRequest.item

The item that was requested.

Example

SNOMEDCTSupplyItem

SupplyRequest.parameter.code

A code that identifies the device detail.

Unknown

No details provided yet

SupplyRequest.reason

The reason why the supply item was requested.

Example

SupplyRequestReason

12.25.5 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name	Type	Description	Expression	In Common
category	token	The kind of supply (central, non-stock, etc.)	SupplyRequest.category
date N	date	When the request was made	SupplyRequest.authoredOn	17 Resources
identifier	token	Business Identifier for SupplyRequest	SupplyRequest.identifier	30 Resources
requester	reference	Individual making the request	SupplyRequest.requester (Practitioner, Organization, Device, Patient, PractitionerRole, RelatedPerson)
status N	token	draft \| active \| suspended +	SupplyRequest.status
subject	reference	The destination of the supply	SupplyRequest.deliverTo (Organization, Patient, Location)
supplier	reference	Who is intended to fulfill the request	SupplyRequest.supplier (Organization, HealthcareService)