Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest vs http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-prescription

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/ServiceRequest
copyright	Used by permission of HL7 International, all rights reserved Creative Commons License		Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date	2022-04-20	2022-08-08T14:42:13+00:00	Values Differ
description	This profile sets minimum expectations for recording, searching, and fetching using the ServiceRequest resource to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies and value sets **SHALL** be present in the resource when using this profile. It provides the floor for standards development for specific uses cases.	A Radiotherapy Course Prescription is a high-level request for a complete Course of Radiotherapy, which may be fulfilled by one or more Phases.	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreServiceRequestProfile	RadiotherapyCoursePrescription	Values Differ
publisher	HL7 International - Cross-Group Projects	HL7 Cross Group Projects Work Group	Values Differ
purpose
status	active	draft	Values Differ
title	US Core ServiceRequest Profile	Radiotherapy Course Cumulative Prescription	Values Differ
type	ServiceRequest
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest	http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-prescription	Values Differ
version	5.0.1	1.0.0-ballot	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
ServiceRequest	I	0..*	ServiceRequest	A request for a service to be performed	I	0..*	ServiceRequest	A request for a service to be performed	Elements differ in definition: '\-' vs 'A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.'
id	Σ	0..1	string	Logical id of this artifact	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!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): A human language. Additional Bindings Purpose AllLanguages Max Binding		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations	S	0..*	Extension	Extension Slice: Unordered, Open by value:url	Elements differ in short: 'Additional content defined by implementations' vs 'Extension' Elements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension' Elements differ in definition for mustSupport: 'false' vs 'true'
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order	SΣ	0..*	Identifier	Identifiers assigned to this order	Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient	Elements differ in definition for mustSupport: 'false' vs 'true'
value	Σ	0..1	string	The value that is unique Example General: 123456	SΣ	1..1	string	The value that is unique Example General: 123456	Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1'
period	Σ	0..1	Period	Time period when id is/was valid for use	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces	SΣ	0..*	Reference(ServiceRequest)	Previous retired request that is replaced by this request	Elements differ in short: 'What request replaces' vs 'Previous retired request that is replaced by this request' Elements differ in definition for mustSupport: 'false' vs 'true'
requisition	Σ	0..1	Identifier	Composite Request ID	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: original-order
Slices for category	SΣ	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.	SΣ	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by pattern:$this 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.	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	?!Σ	0..0			Element maximum cardinalities differ: '1' vs '0'
code	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: US Core Procedure Codes (extensible)	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 and a valueset using LOINC Order codes is available here. Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs","code":"USCRS-33529","display":"Radiotherapy Course of Treatment (regime/therapy)"}]}
orderDetail	ΣI	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.	ΣI	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1	Quantity, Ratio, Range	Service amount	Σ	0..0			Element maximum cardinalities differ: '1' vs '0'
subject	SΣ	1..1	Reference(US Core Patient Profile)	Individual or Entity the service is ordered for	SΣ	1..1	Reference(US Core Patient Profile)	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(Encounter)	Encounter in which the request was created	Σ	0..1	Reference(Encounter)	Encounter in which the request was created
occurrence[x]	SΣ	0..1	Period S, dateTime, Timing	When service should occur	Σ	0..1	Period	When service should occur Slice: Unordered, Closed by type:$this	Elements differ in definition for mustSupport: 'true' vs 'false'
asNeeded[x]	Σ	0..1	boolean, CodeableConcept	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.	Σ	0..0			Element maximum cardinalities differ: '1' vs '0'
authoredOn	SΣ	0..1	dateTime	Date request signed	Σ	0..1	dateTime	Date request signed	Elements differ in definition for mustSupport: 'true' vs 'false'
requester	SΣ	0..1	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile | Device)	Who/what is requesting service	SΣ	0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)	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.	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	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.	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location	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.	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Cancer Disorder Value Set (extensible)	Elements differ in definition for mustSupport: 'false' vs 'true'
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service	SΣ	0..*	Reference(Condition)	Explanation/Justification for service or service	Elements differ in definition for mustSupport: 'false' vs 'true'
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples	Σ	0..0			Element maximum cardinalities differ: '2147483647' vs '0'
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.	SΣ	0..*	CodeableConcept	Body site that is treated with Radiotherapy Binding: Radiotherapy Treatment Location Value Set (required)	Elements differ in short: 'Location on Body' vs 'Body site that is treated with Radiotherapy' Elements differ in definition for mustSupport: 'false' vs 'true'
note		0..*	Annotation	Comments	S	0..*	Annotation	Comments	Elements differ in definition for mustSupport: 'false' vs 'true'
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance		0..*	Reference(Provenance)	Request provenance
Documentation for this format