## Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-pmo-servicerequest vs http://hl7.org/fhir/us/dapl/StructureDefinition/dapl-servicerequest

Left: | US Core PMO ServiceRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-pmo-servicerequest)
Right: | DAPL ServiceRequest (http://hl7.org/fhir/us/dapl/StructureDefinition/dapl-servicerequest)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-pmo-servicerequest' vs 'http://hl7.org/fhir/us/dapl/StructureDefinition/dapl-servicerequest'
Error | StructureDefinition.version | Values for version differ: '9.0.0-ballot' vs '1.0.0-ballot'
Information | StructureDefinition.name | Values for name differ: 'USCorePMOServiceRequestProfile' vs 'DAPLServiceRequest'
Information | StructureDefinition.title | Values for title differ: 'US Core PMO ServiceRequest Profile' vs 'DAPL ServiceRequest'
Information | StructureDefinition.date | Values for date differ: '2025-08-26' vs '2026-05-08T05:01:52+10:00'
Information | StructureDefinition.short | Values for short differ: 'A request for a service to be performed' vs 'DAPL ServiceRequest'
Information | StructureDefinition.definition | Values for definition differ: 'A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.' vs 'The DAPL profile establishes the core elements, extensions, vocabularies and value sets for representing deidentified and anonymized ServiceRequests.'
Information | StructureDefinition.short | Values for short differ: 'Logical id of this artifact' vs 'The ServiceRequest identifier created by the DARTS services potentially linked back to the original ServiceRequest as needed.'
Information | StructureDefinition.definition | Values for definition differ: 'The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.' vs 'DARTS ServiceRequest resource identifier.'
Warning | ServiceRequest.id | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: 'Text summary of the resource, for human interpretation' vs 'Cannot include any text in the resource as part of the de-identified or anonymized data.'
Information | ServiceRequest.text | Element maximum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Contained, inline Resources' vs 'Cannot include any contained resources in the resource as part of the de-identified or anonymized data.'
Information | ServiceRequest.contained | Element maximum cardinalities differ: '2147483647' vs '0'
Information | StructureDefinition.comment | Values for comment differ: 'To allow for the resource life cycle, no constraint on intent for use when documenting derived medical orders. Use 'directive' when part of a FHIR-based PMO document.' vs 'This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.'
Warning | ServiceRequest.category | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | ServiceRequest.category | Element minimum cardinalities differ: '1' vs '0'
Warning | ServiceRequest.doNotPerform | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | ServiceRequest.doNotPerform | Element minimum cardinalities differ: '0' vs '1'
Information | StructureDefinition.comment | Values for comment differ: 'The `ServiceRequest.code` is bound to [Portable Medical Orders - Detailed Categories and Interventions](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1267.35/expansion), which is comprised of code sets for each [Portable Medical Order Categories](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1267.34/Expansion) found in `ServiceRequest.category:us-core-pmo-category`. For proper context, these codes **SHOULD** be aligned with the appropriate Category as follows. - When there is no appropriate code to capture the order, plain text can be used here and in the optional `ServiceRequest.orderDetail` element.' vs '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.'
Information | StructureDefinition.short | Values for short differ: 'Reference to the PMO document' vs 'Explanation/Justification for service or service'
Warning | ServiceRequest.reasonReference | Elements differ in definition for mustSupport: 'true' vs 'false'
Error | ServiceRequest.reasonReference | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-adi-documentreference], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/DiagnosticReport]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Condition|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1]])
Warning | ServiceRequest.bodySite | Elements differ in definition for mustSupport: 'false' vs 'true'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/ServiceRequest |
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |  | Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date | 2025-08-26 | 2026-05-08T05:01:52+10:00 | Values Differ
description | The US Core PMO ServiceRequest Profile inherits from the [FHIR ServiceRequest](https://hl7.org/fhir/R4/servicerequest.html) resource; refer to it for scope and usage definitions. This profile represents an order based on a PMO document and references the [US Core ADI DocumentReference Profile](StructureDefinition-us-core-adi-documentreference.html) to communicate the contents of the PMO document, such as POLST, MOLST, or other state-specific forms. PMO documents follow the patient across care settings and are typically stored as scanned images in EMRs/EHRs. Together, these two profiles satisfy the USCDI's PMO Order Data Element's intent to represent orders based on an individual's PMO. The US Core PMO ServiceRequest Profile establishes minimum expectations for recording, searching, and fetching PMO-related ServiceRequest information, specifying core elements, extensions, vocabularies, and value sets that SHALL be present to promote interoperability. | The DAPL profile establishes the core elements, extensions, vocabularies and value sets for representing deidentified and anonymized ServiceRequest. | Values Differ
experimental |  | false | Added the item 'false'
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCorePMOServiceRequestProfile | DAPLServiceRequest | Values Differ
publisher | HL7 International / Cross-Group Projects |
purpose |  |
status | active |
title | US Core PMO ServiceRequest Profile | DAPL ServiceRequest | Values Differ
type | ServiceRequest |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-pmo-servicerequest | http://hl7.org/fhir/us/dapl/StructureDefinition/dapl-servicerequest | Values Differ
version | 9.0.0-ballot | 1.0.0-ballot | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed | C | 0..* | ServiceRequest | DAPL ServiceRequest |
id | Σ | 0..1 | id | Logical id of this artifact | S Σ | 0..1 | id | The ServiceRequest identifier created by the DARTS services potentially linked back to the original ServiceRequest as needed. | Elements differ in definition for mustSupport: 'false' vs 'true'
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |  | 0..0 |  | Cannot include any text in the resource as part of the de-identified or anonymized data. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | Element maximum cardinalities differ: '1' vs '0'
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..0 |  | Cannot include any contained resources in the resource as part of the de-identified or anonymized data. | Element maximum cardinalities differ: '2147483647' vs '0'
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Identifiers assigned to this order | Σ | 0..* | Identifier | Identifiers assigned to this order |
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition |
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition |
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills |
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces |
requisition | Σ | 0..1 | Identifier | Composite Request ID | Σ | 0..1 | Identifier | Composite Request ID |
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of a service order. | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of a service order. |
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of service request. | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of service request. |
Slices for category | S Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ?? (example): Classification of the requested service. | Σ | 0..* | CodeableConcept | Classification of service Binding: ?? (example): Classification of the requested service. | Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. |
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed | ?!S Σ | 1..1 | boolean | True if service/procedure should not be performed | Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '0' vs '1'
code | S Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: ?? (extensible) | S Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: ?? (extensible): The set of codes indicating the ServiceRequests |
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ?? (example): Codified order entry details which are based on order context. | Σ C | 0..* | CodeableConcept | Additional order information Binding: ?? (example): Codified order entry details which are based on order context. |
quantity[x] | Σ | 0..1 | Quantity, Ratio, Range | Service amount | Σ | 0..1 | Quantity, Ratio, Range | Service amount |
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Individual or Entity the service is ordered for | S Σ | 1..1 | Reference(DAPL De-identified Patient) | Individual or Entity the service is ordered for |
encounter | S Σ | 0..1 | Reference(US Core Encounter Profile) | Encounter in which the request was created | S Σ | 0..1 | Reference(DAPL De-identified Encounter) | Encounter in which the request was created |
occurrence[x] | S Σ | 0..1 | Period S, dateTime, Timing | When service should occur | S Σ | 0..1 | dateTime, Period, Timing | When service should occur |
asNeeded[x] | Σ | 0..1 | boolean, CodeableConcept | Preconditions for service Binding: ?? (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | Σ | 0..1 | boolean, CodeableConcept | Preconditions for service Binding: ?? (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. |
authoredOn | S Σ | 0..1 | dateTime | Date request signed | S Σ | 0..1 | dateTime | Date request signed |
requester | S Σ | 0..1 | Reference(US Core Practitioner Profile S | US Core Organization Profile | PractitionerRole) | Who/what is requesting service | S Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service |
performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: ?? (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | Σ | 0..1 | CodeableConcept | Performer role Binding: ?? (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. |
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer |
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ?? (example): A location type where services are delivered. | Σ | 0..* | CodeableConcept | Requested location Binding: ?? (example): A location type where services are delivered. |
locationReference | Σ | 0..* | Reference(Location) | Requested location | Σ | 0..* | Reference(Location) | Requested location |
reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ?? (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ?? (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. |
reasonReference | S Σ | 0..* | Reference(US Core ADI DocumentReference Profile S | US Core DocumentReference Profile | US Core Condition Problems and Health Concerns Profile | Observation | DiagnosticReport) | Reference to the PMO document | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | Elements differ in definition for mustSupport: 'true' vs 'false' Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-adi-documentreference], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/DiagnosticReport]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Condition|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1]])
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage |
supportingInfo |  | 0..* | Reference(Resource) | Additional clinical information |  | 0..* | Reference(Resource) | Additional clinical information |
specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples | Σ | 0..* | Reference(Specimen) | Procedure Samples |
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: ?? (example): Codes describing anatomical locations. May include laterality. | S Σ | 0..* | CodeableConcept | Location on Body Binding: ?? (example): Codes describing anatomical locations. May include laterality. | Elements differ in definition for mustSupport: 'false' vs 'true'
note |  | 0..* | Annotation | Comments |  | 0..* | Annotation | Comments |
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions | Σ | 0..1 | string | Patient or consumer-oriented instructions |
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance |  | 0..* | Reference(Provenance) | Request provenance |
Documentation for this format