US Core Implementation Guide
6.1.0 - STU6
US Core Implementation Guide
6.1.0 - STU6
This page is part of the US Core (v6.1.0: STU6 Update) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
| Active as of 2022-10-07 |
XML representation of the us-core-servicerequest resource profile.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="us-core-servicerequest"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-us-core-servicerequest-definitions.html#ServiceRequest" title="\-">ServiceRequest</a><a name="ServiceRequest"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">A request for a service to be performed</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-us-core-servicerequest-definitions.html#ServiceRequest.status">status</a><a name="ServiceRequest.status"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-us-core-servicerequest-definitions.html#ServiceRequest.intent">intent</a><a name="ServiceRequest.intent"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-us-core-servicerequest-definitions.html#ServiceRequest.category">Slices for category</a><a name="ServiceRequest.category"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic">(USCDI) Classification of service</span><br style="font-style: italic"/><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by pattern:$this</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-us-core-servicerequest-definitions.html#ServiceRequest.category:us-core" title="Slice us-core">category:us-core</a><a name="ServiceRequest.category"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(USCDI) Classification of service<br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-us-core-servicerequest-category.html">US Core ServiceRequest Category Codes</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>): Note that other codes are permitted, see <a href="http://hl7.org/fhir/us/core/general-requirements.html#required-bindings-when-slicing-by-value-sets">Required Bindings When Slicing by Value Sets</a><br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-us-core-servicerequest-definitions.html#ServiceRequest.code">code</a><a name="ServiceRequest.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(USCDI) What is being requested/ordered<br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-us-core-procedure-code.html">US Core Procedure Codes</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-us-core-servicerequest-definitions.html#ServiceRequest.subject">subject</a><a name="ServiceRequest.subject"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-us-core-patient.html">US Core Patient Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(USCDI) Individual or Entity the service is ordered for</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_choice.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Choice of Types" class="hierarchy"/> <a href="StructureDefinition-us-core-servicerequest-definitions.html#ServiceRequest.occurrence[x]">occurrence[x]</a><a name="ServiceRequest.occurrence_x_"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(USCDI) When service should occur</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span title="Base StructureDefinition for Period Type: A time period defined by a start and end date and optionally time.">occurrencePeriod</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Period">Period</a> <span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This type must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span title="Base StructureDefinition for dateTime Type: A date, date-time or partial date (e.g. just year or year + month). If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored. Dates SHALL be valid dates.">occurrenceDateTime</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span title="Base StructureDefinition for Timing Type: Specifies an event that may occur multiple times. Timing schedules are used to record when things are planned, expected or requested to occur. The most common usage is in dosage instructions for medications. They are also used when planning care of various kinds, and may be used for reporting the schedule to which past regular activities were carried out.">occurrenceTiming</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Timing">Timing</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-us-core-servicerequest-definitions.html#ServiceRequest.authoredOn">authoredOn</a><a name="ServiceRequest.authoredOn"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(USCDI) Date request signed</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-us-core-servicerequest-definitions.html#ServiceRequest.requester">requester</a><a name="ServiceRequest.requester"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-us-core-practitioner.html">US Core Practitioner Profile</a> <span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This target must be supported">S</span> | <a href="StructureDefinition-us-core-organization.html">US Core Organization Profile</a> | <a href="StructureDefinition-us-core-patient.html">US Core Patient Profile</a> | <a href="http://hl7.org/fhir/R4/practitionerrole.html">PractitionerRole</a> | <a href="StructureDefinition-us-core-relatedperson.html">US Core RelatedPerson Profile</a> | <a href="http://hl7.org/fhir/R4/device.html">Device</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(USCDI) Who/what is requesting service</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-us-core-servicerequest-definitions.html#ServiceRequest.reasonCode">reasonCode</a><a name="ServiceRequest.reasonCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(USCDI) Explanation/Justification for procedure or service<br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-us-core-condition-code.html">US Core Condition Codes</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-us-core-servicerequest-definitions.html#ServiceRequest.reasonReference">reasonReference</a><a name="ServiceRequest.reasonReference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a style="opacity: 0.5" href="http://hl7.org/fhir/R4/condition.html">Condition</a> | <a style="opacity: 0.5" href="http://hl7.org/fhir/R4/observation.html">Observation</a> | <a style="opacity: 0.5" href="http://hl7.org/fhir/R4/diagnosticreport.html">DiagnosticReport</a> | <a style="opacity: 0.5" href="http://hl7.org/fhir/R4/documentreference.html">DocumentReference</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(USCDI) US Core Profile that supports the requested service</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<url
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest"/>
<version value="6.1.0"/>
<name value="USCoreServiceRequestProfile"/>
<title value="US Core ServiceRequest Profile"/>
<status value="active"/>
<date value="2022-10-07"/>
<publisher value="HL7 International - Cross-Group Projects"/>
<contact>
<name value="HL7 International - Cross-Group Projects"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/cgp"/>
</telecom>
<telecom>
<system value="email"/>
<value value="cgp@lists.HL7.org"/>
</telecom>
</contact>
<description
value="This profile sets minimum expectations for recording, searching, and fetching 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 and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<copyright
value="Used by permission of HL7 International, all rights reserved Creative Commons License"/>
<fhirVersion value="4.0.1"/>
<mapping>
<identity value="workflow"/>
<uri value="http://hl7.org/fhir/workflow"/>
<name value="Workflow Pattern"/>
</mapping>
<mapping>
<identity value="v2"/>
<uri value="http://hl7.org/v2"/>
<name value="HL7 v2 Mapping"/>
</mapping>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM Mapping"/>
</mapping>
<mapping>
<identity value="w5"/>
<uri value="http://hl7.org/fhir/fivews"/>
<name value="FiveWs Pattern Mapping"/>
</mapping>
<mapping>
<identity value="quick"/>
<uri value="http://siframework.org/cqf"/>
<name value="Quality Improvement and Clinical Knowledge (QUICK)"/>
</mapping>
<kind value="resource"/>
<abstract value="false"/>
<type value="ServiceRequest"/>
<baseDefinition
value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
<derivation value="constraint"/>
<snapshot>
<element id="ServiceRequest">
<path value="ServiceRequest"/>
<short value="A request for a service to be performed"/>
<definition value="\-"/>
<comment value="\-"/>
<alias value="diagnostic request"/>
<alias value="referral"/>
<alias value="referral request"/>
<alias value="transfer of care request"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest"/>
<min value="0"/>
<max value="*"/>
</base>
<constraint>
<key value="dom-2"/>
<severity value="error"/>
<human
value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
<expression value="contained.contained.empty()"/>
<xpath value="not(parent::f:contained and f:contained)"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="dom-3"/>
<severity value="error"/>
<human
value="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"/>
<expression
value="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()"/>
<xpath
value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="dom-4"/>
<severity value="error"/>
<human
value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
<expression
value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
<xpath
value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="dom-5"/>
<severity value="error"/>
<human
value="If a resource is contained in another resource, it SHALL NOT have a security label"/>
<expression value="contained.meta.security.empty()"/>
<xpath value="not(exists(f:contained/*/f:meta/f:security))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
<valueMarkdown
value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/>
</extension>
<key value="dom-6"/>
<severity value="warning"/>
<human
value="A resource should have narrative for robust management"/>
<expression value="text.`div`.exists()"/>
<xpath value="exists(f:text/h:div)"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="prr-1"/>
<severity value="error"/>
<human value="orderDetail SHALL only be present if code is present"/>
<expression value="orderDetail.empty() or code.exists()"/>
<xpath value="exists(f:code) or not(exists(f:orderDetail))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Entity. Role, or Act"/>
</mapping>
<mapping>
<identity value="workflow"/>
<map value="Request"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Act[moodCode<=INT]"/>
</mapping>
</element>
<element id="ServiceRequest.id">
<path value="ServiceRequest.id"/>
<short value="Logical id of this artifact"/>
<definition
value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
<comment
value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="ServiceRequest.meta">
<path value="ServiceRequest.meta"/>
<short value="Metadata about the resource"/>
<definition
value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.meta"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Meta"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="ServiceRequest.implicitRules">
<path value="ServiceRequest.implicitRules"/>
<short value="A set of rules under which this content was created"/>
<definition
value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/>
<comment
value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.implicitRules"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/>
<isSummary value="true"/>
</element>
<element id="ServiceRequest.language">
<path value="ServiceRequest.language"/>
<short value="Language of the resource content"/>
<definition
value="The base language in which the resource is written."/>
<comment
value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.language"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
<valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Language"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
<valueBoolean value="true"/>
</extension>
<strength value="preferred"/>
<description value="A human language."/>
<valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
</binding>
</element>
<element id="ServiceRequest.text">
<path value="ServiceRequest.text"/>
<short value="Text summary of the resource, for human interpretation"/>
<definition
value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
<comment
value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/>
<alias value="narrative"/>
<alias value="html"/>
<alias value="xhtml"/>
<alias value="display"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Narrative"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Act.text?"/>
</mapping>
</element>
<element id="ServiceRequest.contained">
<path value="ServiceRequest.contained"/>
<short value="Contained, inline Resources"/>
<definition
value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
<comment
value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/>
<alias value="inline resources"/>
<alias value="anonymous resources"/>
<alias value="contained resources"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.contained"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Resource"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ServiceRequest.extension">
<path value="ServiceRequest.extension"/>
<short value="Additional content defined by implementations"/>
<definition
value="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."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ServiceRequest.modifierExtension">
<path value="ServiceRequest.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="ServiceRequest.identifier">
<path value="ServiceRequest.identifier"/>
<short value="Identifiers assigned to this order"/>
<definition
value="Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller."/>
<comment
value="The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.identifier"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.identifier"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.2, ORC.3, RF1-6 / RF1-11,"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".identifier"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="ClinicalStatement.identifier"/>
</mapping>
</element>
<element id="ServiceRequest.instantiatesCanonical">
<path value="ServiceRequest.instantiatesCanonical"/>
<short value="Instantiates FHIR protocol or definition"/>
<definition
value="The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest."/>
<comment
value="Note: This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.instantiatesCanonical"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="canonical"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.instantiatesCanonical"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="Varies by domain"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=DEFN].target"/>
</mapping>
</element>
<element id="ServiceRequest.instantiatesUri">
<path value="ServiceRequest.instantiatesUri"/>
<short value="Instantiates external protocol or definition"/>
<definition
value="The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest."/>
<comment
value="This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.instantiatesUri"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.instantiatesUri"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="Varies by domain"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=DEFN].target"/>
</mapping>
</element>
<element id="ServiceRequest.basedOn">
<path value="ServiceRequest.basedOn"/>
<short value="What request fulfills"/>
<definition value="Plan/proposal/order fulfilled by this request."/>
<alias value="fulfills"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.basedOn"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/CarePlan"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.basedOn"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.8 (plus others)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=FLFS].target"/>
</mapping>
</element>
<element id="ServiceRequest.replaces">
<path value="ServiceRequest.replaces"/>
<short value="What request replaces"/>
<definition
value="The request takes the place of the referenced completed or terminated request(s)."/>
<alias value="supersedes"/>
<alias value="prior"/>
<alias value="renewed order"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.replaces"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.replaces"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="Handled by message location of ORC (ORC.1=RO or RU)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=RPLC].target"/>
</mapping>
</element>
<element id="ServiceRequest.requisition">
<path value="ServiceRequest.requisition"/>
<short value="Composite Request ID"/>
<definition
value="A shared identifier common to all service requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier."/>
<comment
value="Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation."/>
<requirements
value="Some business processes need to know if multiple items were ordered as part of the same "requisition" for billing or other purposes."/>
<alias value="grouperId"/>
<alias value="groupIdentifier"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.requisition"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.groupIdentifier"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.4"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"/>
</mapping>
</element>
<element id="ServiceRequest.status">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.status"/>
<short
value="(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown"/>
<definition value="The status of the order."/>
<comment
value="The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](http://hl7.org/fhir/R4/event.html) for general discussion) or using the [Task](http://hl7.org/fhir/R4/task.html) resource."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ServiceRequest.status"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="true"/>
<isModifierReason
value="This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceRequestStatus"/>
</extension>
<strength value="required"/>
<description value="The status of a service order."/>
<valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.0.1"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.status"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.status"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.5,RF1-1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".status"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="Action.currentStatus"/>
</mapping>
</element>
<element id="ServiceRequest.intent">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.intent"/>
<short
value="(USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option"/>
<definition
value="Whether the request is a proposal, plan, an original order or a reflex order."/>
<comment
value="This element is labeled as a modifier because the intent alters when and how the resource is actually applicable."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ServiceRequest.intent"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="true"/>
<isModifierReason
value="This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceRequestIntent"/>
</extension>
<strength value="required"/>
<description value="The kind of service request."/>
<valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.0.1"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.intent"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.class"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"/>
</mapping>
</element>
<element id="ServiceRequest.category">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.category"/>
<slicing>
<discriminator>
<type value="pattern"/>
<path value="$this"/>
</discriminator>
<rules value="open"/>
</slicing>
<short value="(USCDI) Classification of service"/>
<definition
value="A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure")."/>
<comment
value="There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set."/>
<requirements
value="Used for filtering what service request are retrieved and displayed."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.category"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceRequestCategory"/>
</extension>
<strength value="example"/>
<description value="Classification of the requested service."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/servicerequest-category"/>
</binding>
<mapping>
<identity value="w5"/>
<map value="FiveWs.class"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="RF1-5"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code"/>
</mapping>
</element>
<element id="ServiceRequest.category:us-core">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.category"/>
<sliceName value="us-core"/>
<short value="(USCDI) Classification of service"/>
<definition
value="A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure")."/>
<comment
value="There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set."/>
<requirements
value="Used for filtering what service request are retrieved and displayed."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.category"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="required"/>
<description
value="Note that other codes are permitted, see [Required Bindings When Slicing by Value Sets](http://hl7.org/fhir/us/core/general-requirements.html#required-bindings-when-slicing-by-value-sets)"/>
<valueSet
value="http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category"/>
</binding>
<mapping>
<identity value="w5"/>
<map value="FiveWs.class"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="RF1-5"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code"/>
</mapping>
</element>
<element id="ServiceRequest.priority">
<path value="ServiceRequest.priority"/>
<short value="routine | urgent | asap | stat"/>
<definition
value="Indicates how quickly the ServiceRequest should be addressed with respect to other requests."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.priority"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<meaningWhenMissing
value="If missing, this task should be performed with normal priority"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceRequestPriority"/>
</extension>
<strength value="required"/>
<description
value="Identifies the level of importance to be assigned to actioning the request."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/request-priority|4.0.1"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.priority"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.grade"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="TQ1.9, RF1-2"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".priorityCode"/>
</mapping>
</element>
<element id="ServiceRequest.doNotPerform">
<path value="ServiceRequest.doNotPerform"/>
<short value="True if service/procedure should not be performed"/>
<definition
value="Set this to true if the record is saying that the service/procedure should NOT be performed."/>
<comment
value="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 ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation."/>
<requirements
value="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 value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.doNotPerform"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<meaningWhenMissing
value="If missing, the request is a positive request e.g. "do perform""/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur."/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.doNotPerform"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".actionNegationInd"/>
</mapping>
</element>
<element id="ServiceRequest.code">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.code"/>
<short value="(USCDI) What is being requested/ordered"/>
<definition
value="A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested."/>
<comment
value="Many laboratory and radiology procedure codes embed the specimen/organ system in the test order name, for example, serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code."/>
<alias value="service requested"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ServiceRequest.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="extensible"/>
<valueSet
value="http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.code"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.what[x]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="PR1-3 / OBR-4 (varies by domain)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".code"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="Procedure.procedureCode"/>
</mapping>
</element>
<element id="ServiceRequest.orderDetail">
<path value="ServiceRequest.orderDetail"/>
<short value="Additional order information"/>
<definition
value="Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied."/>
<comment
value="For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element."/>
<alias value="detailed instructions"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.orderDetail"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<condition value="prr-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="OrderDetail"/>
</extension>
<strength value="example"/>
<description
value="Codified order entry details which are based on order context."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/servicerequest-orderdetail"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="NTE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".code"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="Procedure.procedureCode"/>
</mapping>
</element>
<element id="ServiceRequest.quantity[x]">
<path value="ServiceRequest.quantity[x]"/>
<short value="Service amount"/>
<definition
value="An amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction)."/>
<requirements
value="When ordering a service the number of service items may need to be specified separately from the the service item."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.quantity[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
</type>
<type>
<code value="Ratio"/>
</type>
<type>
<code value="Range"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="NTE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".quantity"/>
</mapping>
</element>
<element id="ServiceRequest.subject">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.subject"/>
<short value="(USCDI) Individual or Entity the service is ordered for"/>
<definition
value="On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ServiceRequest.subject"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.subject"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.subject[x]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="PID"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=SBJ].role"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="ClinicalStatement.subject"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.subject"/>
</mapping>
</element>
<element id="ServiceRequest.encounter">
<path value="ServiceRequest.encounter"/>
<short value="Encounter in which the request was created"/>
<definition
value="An encounter that provides additional information about the healthcare context in which this request is made."/>
<alias value="context"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.encounter"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.encounter"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.context"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="PV1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="ClinicalStatement.encounter"/>
</mapping>
</element>
<element id="ServiceRequest.occurrence[x]">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.occurrence[x]"/>
<short value="(USCDI) When service should occur"/>
<definition
value="The date/time at which the requested service should occur."/>
<alias value="schedule"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.occurrence[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
<valueBoolean value="true"/>
</extension>
<code value="Period"/>
</type>
<type>
<code value="dateTime"/>
</type>
<type>
<code value="Timing"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.occurrence[x]"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.planned"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="TQ1/TQ2, OBR-7/OBR-8"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".effectiveTime"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="Procedure.procedureSchedule"/>
</mapping>
</element>
<element id="ServiceRequest.asNeeded[x]">
<path value="ServiceRequest.asNeeded[x]"/>
<short value="Preconditions for service"/>
<definition
value="If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.asNeeded[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ProcedureAsNeededReason"/>
</extension>
<strength value="example"/>
<description
value="A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/medication-as-needed-reason"/>
</binding>
<mapping>
<identity value="rim"/>
<map
value="boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code="Assertion"].value"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="Proposal.prnReason.reason"/>
</mapping>
</element>
<element id="ServiceRequest.authoredOn">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.authoredOn"/>
<short value="(USCDI) Date request signed"/>
<definition value="When the request transitioned to being actionable."/>
<alias value="orderedOn"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.authoredOn"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.authoredOn"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.recorded"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.9, RF1-7 / RF1-9"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=AUT].time"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="Proposal.proposedAtTime"/>
</mapping>
</element>
<element id="ServiceRequest.requester">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.requester"/>
<short value="(USCDI) Who/what is requesting service"/>
<definition
value="The individual who initiated the request and has responsibility for its activation."/>
<comment
value="This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource."/>
<alias value="author"/>
<alias value="orderer"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.requester"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
<valueBoolean value="true"/>
</extension>
</targetProfile>
<targetProfile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
<valueBoolean value="false"/>
</extension>
</targetProfile>
<targetProfile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
<valueBoolean value="false"/>
</extension>
</targetProfile>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/PractitionerRole">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
<valueBoolean value="false"/>
</extension>
</targetProfile>
<targetProfile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
<valueBoolean value="false"/>
</extension>
</targetProfile>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Device">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
<valueBoolean value="false"/>
</extension>
</targetProfile>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.requester"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.author"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.12, PRT"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=AUT].role"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="ClinicalStatement.statementAuthor"/>
</mapping>
</element>
<element id="ServiceRequest.performerType">
<path value="ServiceRequest.performerType"/>
<short value="Performer role"/>
<definition
value="Desired type of performer for doing the requested service."/>
<comment
value="This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”."/>
<alias value="specialty"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.performerType"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceRequestParticipantRole"/>
</extension>
<strength value="example"/>
<description
value="Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc."/>
<valueSet value="http://hl7.org/fhir/ValueSet/participant-role"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.performerType"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.actor"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="PRT, RF!-3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"/>
</mapping>
</element>
<element id="ServiceRequest.performer">
<path value="ServiceRequest.performer"/>
<short value="Requested performer"/>
<definition
value="The desired performer for doing the requested service. For example, the surgeon, dermatopathologist, endoscopist, etc."/>
<comment
value="If multiple performers are present, it is interpreted as a list of *alternative* performers without any preference regardless of order. If order of preference is needed use the [request-performerOrder extension](http://hl7.org/fhir/R4/extension-request-performerorder.html). Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B)."/>
<alias value="request recipient"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.performer"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Organization"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/CareTeam"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Patient"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Device"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.performer"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.actor"/>
</mapping>
<mapping>
<identity value="v2"/>
<map
value="PRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/>
</mapping>
</element>
<element id="ServiceRequest.locationCode">
<path value="ServiceRequest.locationCode"/>
<short value="Requested location"/>
<definition
value="The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.locationCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ServiceRequestLocation"/>
</extension>
<strength value="example"/>
<description value="A location type where services are delivered."/>
<valueSet
value="http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType"/>
</binding>
<mapping>
<identity value="w5"/>
<map value="FiveWs.actor"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode=LOC].role[scoper.determinerCode=KIND].code"/>
</mapping>
</element>
<element id="ServiceRequest.locationReference">
<path value="ServiceRequest.locationReference"/>
<short value="Requested location"/>
<definition
value="A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.locationReference"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Location"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="w5"/>
<map value="FiveWs.actor"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]"/>
</mapping>
</element>
<element id="ServiceRequest.reasonCode">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.reasonCode"/>
<short
value="(USCDI) Explanation/Justification for procedure or service"/>
<definition
value="An explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in `supportingInfo`."/>
<comment
value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](http://hl7.org/fhir/R4/servicerequest-example-di.html)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.reasonCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="extensible"/>
<valueSet
value="http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Request.reasonCode"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.why[x]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.16, RF1-10"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".reasonCode"/>
</mapping>
</element>
<element id="ServiceRequest.reasonReference">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.reasonReference"/>
<short
value="(USCDI) US Core Profile that supports the requested service"/>
<definition
value="Indicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in `supportingInfo`."/>
<comment
value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to *Observation* or *Condition* should be used if available. Otherwise when referencing *DiagnosticReport* it should contain a finding in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](http://hl7.org/fhir/R4/servicerequest-example-di.html)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.reasonReference"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Request.reasonReference"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.why[x]"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORC.16"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=RSON].target"/>
</mapping>
</element>
<element id="ServiceRequest.insurance">
<path value="ServiceRequest.insurance"/>
<short value="Associated insurance coverage"/>
<definition
value="Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.insurance"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.insurance"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="IN1/IN2"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=COVBY].target"/>
</mapping>
</element>
<element id="ServiceRequest.supportingInfo">
<path value="ServiceRequest.supportingInfo"/>
<short value="Additional clinical information"/>
<definition
value="Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as "ask at order entry questions (AOEs)". This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements."/>
<comment
value="To represent information about how the services are to be delivered use the `instructions` element."/>
<alias value="Ask at order entry question"/>
<alias value="AOE"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.supportingInfo"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Resource"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.supportingInfo"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="Accompanying segments"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=PERT].target"/>
</mapping>
</element>
<element id="ServiceRequest.specimen">
<path value="ServiceRequest.specimen"/>
<short value="Procedure Samples"/>
<definition
value="One or more specimens that the laboratory procedure will use."/>
<comment
value="Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the [Specimen](http://hl7.org/fhir/R4/specimen.html) resource points to the ServiceRequest."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.specimen"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Specimen"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="SPM"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=SPC].role"/>
</mapping>
</element>
<element id="ServiceRequest.bodySite">
<path value="ServiceRequest.bodySite"/>
<short value="Location on Body"/>
<definition
value="Anatomic location where the procedure should be performed. This is the target site."/>
<comment
value="Only used if not implicit in the code found in ServiceRequest.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension [procedure-targetBodyStructure](http://hl7.org/fhir/R4/extension-procedure-targetbodystructure.html)."/>
<requirements
value="Knowing where the procedure is performed is important for tracking if multiple sites are possible."/>
<alias value="location"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.bodySite"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="BodySite"/>
</extension>
<strength value="example"/>
<description
value="Codes describing anatomical locations. May include laterality."/>
<valueSet value="http://hl7.org/fhir/ValueSet/body-site"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="SPM"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="targetSiteCode"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="Procedure.targetBodySite"/>
</mapping>
</element>
<element id="ServiceRequest.note">
<path value="ServiceRequest.note"/>
<short value="Comments"/>
<definition
value="Any other notes and comments made about the service request. For example, internal billing notes."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.note"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Annotation"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.note"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="NTE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"/>
</mapping>
<mapping>
<identity value="quick"/>
<map value="ClinicalStatement.additionalText"/>
</mapping>
</element>
<element id="ServiceRequest.patientInstruction">
<path value="ServiceRequest.patientInstruction"/>
<short value="Patient or consumer-oriented instructions"/>
<definition
value="Instructions in terms that are understood by the patient or consumer."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ServiceRequest.patientInstruction"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="NTE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".text"/>
</mapping>
</element>
<element id="ServiceRequest.relevantHistory">
<path value="ServiceRequest.relevantHistory"/>
<short value="Request provenance"/>
<definition value="Key events in the history of the request."/>
<comment
value="This might not include provenances for all versions of the request – only those deemed “relevant” or important.
This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude
All Provenances should have some historical version of this Request as their subject."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ServiceRequest.relevantHistory"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Provenance"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Request.relevantHistory"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"/>
</mapping>
</element>
</snapshot>
<differential>
<element id="ServiceRequest">
<path value="ServiceRequest"/>
<definition value="\-"/>
<comment value="\-"/>
<mustSupport value="false"/>
</element>
<element id="ServiceRequest.status">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.status"/>
<short
value="(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown"/>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.intent">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.intent"/>
<short
value="(USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option"/>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.category">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.category"/>
<slicing>
<discriminator>
<type value="pattern"/>
<path value="$this"/>
</discriminator>
<rules value="open"/>
</slicing>
<short value="(USCDI) Classification of service"/>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.category:us-core">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.category"/>
<sliceName value="us-core"/>
<short value="(USCDI) Classification of service"/>
<mustSupport value="true"/>
<binding>
<strength value="required"/>
<description
value="Note that other codes are permitted, see [Required Bindings When Slicing by Value Sets](http://hl7.org/fhir/us/core/general-requirements.html#required-bindings-when-slicing-by-value-sets)"/>
<valueSet
value="http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category"/>
</binding>
</element>
<element id="ServiceRequest.code">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.code"/>
<short value="(USCDI) What is being requested/ordered"/>
<min value="1"/>
<mustSupport value="true"/>
<binding>
<strength value="extensible"/>
<valueSet
value="http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code"/>
</binding>
</element>
<element id="ServiceRequest.subject">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.subject"/>
<short value="(USCDI) Individual or Entity the service is ordered for"/>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</type>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.occurrence[x]">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.occurrence[x]"/>
<short value="(USCDI) When service should occur"/>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
<valueBoolean value="true"/>
</extension>
<code value="Period"/>
</type>
<type>
<code value="dateTime"/>
</type>
<type>
<code value="Timing"/>
</type>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.authoredOn">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.authoredOn"/>
<short value="(USCDI) Date request signed"/>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.requester">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.requester"/>
<short value="(USCDI) Who/what is requesting service"/>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
<valueBoolean value="true"/>
</extension>
</targetProfile>
<targetProfile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
<valueBoolean value="false"/>
</extension>
</targetProfile>
<targetProfile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
<valueBoolean value="false"/>
</extension>
</targetProfile>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/PractitionerRole">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
<valueBoolean value="false"/>
</extension>
</targetProfile>
<targetProfile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
<valueBoolean value="false"/>
</extension>
</targetProfile>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Device">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
<valueBoolean value="false"/>
</extension>
</targetProfile>
</type>
<mustSupport value="true"/>
</element>
<element id="ServiceRequest.reasonCode">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.reasonCode"/>
<short
value="(USCDI) Explanation/Justification for procedure or service"/>
<binding>
<strength value="extensible"/>
<valueSet
value="http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code"/>
</binding>
</element>
<element id="ServiceRequest.reasonReference">
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="ServiceRequest.reasonReference"/>
<short
value="(USCDI) US Core Profile that supports the requested service"/>
</element>
</differential>
</StructureDefinition>
IG © 2023+ HL7 International - Cross-Group Projects. Package hl7.fhir.us.core#6.1.0 based on FHIR 4.0.1. Generated 2023-06-30
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