This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.0.1: STU 2.0) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: CRD Service Request

This profile specifies constraints on the ServiceRequest resource to support coverage requirements discovery.

Usage:

• Refer to this Resource Profile: Coverage Information, CRD Appointment, CRD Encounter, CRD Medication Request and CRD Service Request

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest			ServiceRequest
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	S	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier	S	0..*	Identifier	Identifiers assigned to this order
basedOn	S	0..*	Reference(CRD Service Request | CRD Medication Request)	What request fulfills
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Fixed Value: draft
doNotPerform	S	0..1	boolean	True if service/procedure should not be performed
code	S	1..1	CodeableConcept	Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service
quantity[x]	S	0..1	Quantity, Ratio, Range	Service amount
subject	S	1..1	Reference(CRD Patient)	Individual or Entity the service is ordered for
encounter		0..1	Reference(CRD Encounter)	Encounter in which the request was created
occurrence[x]	S	0..1	dateTime, Period, Timing	When service should occur
authoredOn	S	1..1	dateTime	Date request signed
requester	S	1..1	Reference(CRD Practitioner | US Core PractitionerRole Profile)	Who/what is requesting service
performer	S	0..*	Reference(CRD Practitioner | US Core PractitionerRole Profile)	Requested performer
locationReference	S	0..1	Reference(CRD Location)	Requested location
reasonCode	S	0..*	CodeableConcept	Explanation/Justification for procedure or service
reasonReference	S	0..*	Reference(US Core Condition Profile | US Core Laboratory Result Observation Profile)	Explanation/Justification for service or service
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
ServiceRequest.code	extensible	CRDServiceRequestCodes

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifiers assigned to this order
basedOn	SΣ	0..*	Reference(CRD Service Request | CRD Medication Request)	What request fulfills
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Fixed Value: draft
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
doNotPerform	?!SΣ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service
quantity[x]	SΣ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(CRD Patient)	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter in which the request was created
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	Date request signed
requester	SΣ	1..1	Reference(CRD Practitioner | US Core PractitionerRole Profile)	Who/what is requesting service
performer	SΣ	0..*	Reference(CRD Practitioner | US Core PractitionerRole Profile)	Requested performer
locationReference	SΣ	0..1	Reference(CRD Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	SΣ	0..*	Reference(US Core Condition Profile | US Core Laboratory Result Observation Profile)	Explanation/Justification for service or service
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.status	required	Fixed Value: draft
ServiceRequest.intent	required	RequestIntent
ServiceRequest.code	extensible	CRDServiceRequestCodes
ServiceRequest.reasonCode	example	ProcedureReasonCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	ServiceRequest.extension:Coverage-Information	Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' : extension.where(url='questionnaire' or url='response').exists() implies (extension.where(url = 'doc-needed').exists() and extension.where(url = 'doc-needed').all(value != 'no-doc'))
crd-ci-q2	error	ServiceRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' should not exist. : extension.where(url = 'covered' and value != 'not-covered') implies extension.where(url = 'pa-needed').exists()
crd-ci-q3	error	ServiceRequest.extension:Coverage-Information	If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. : extension.where(url = 'info-needed').exists() implies extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1
crd-ci-q4	error	ServiceRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'PA')
crd-ci-q5	error	ServiceRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	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 : 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()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifiers assigned to this order
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	0..*	Reference(CRD Service Request | CRD Medication Request)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Fixed Value: draft
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
category	Σ	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!SΣ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	SΣ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(CRD Patient)	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter in which the request was created
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	SΣ	1..1	dateTime	Date request signed
requester	SΣ	1..1	Reference(CRD Practitioner | US Core PractitionerRole Profile)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	SΣ	0..*	Reference(CRD Practitioner | US Core PractitionerRole Profile)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	SΣ	0..1	Reference(CRD Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	SΣ	0..*	Reference(US Core Condition Profile | US Core Laboratory Result Observation Profile)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	Fixed Value: draft
ServiceRequest.intent	required	RequestIntent
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.priority	required	RequestPriority
ServiceRequest.code	extensible	CRDServiceRequestCodes
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
ServiceRequest.performerType	example	ParticipantRoles
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	example	ProcedureReasonCodes
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	ServiceRequest.extension:Coverage-Information	Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' : extension.where(url='questionnaire' or url='response').exists() implies (extension.where(url = 'doc-needed').exists() and extension.where(url = 'doc-needed').all(value != 'no-doc'))
crd-ci-q2	error	ServiceRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' should not exist. : extension.where(url = 'covered' and value != 'not-covered') implies extension.where(url = 'pa-needed').exists()
crd-ci-q3	error	ServiceRequest.extension:Coverage-Information	If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. : extension.where(url = 'info-needed').exists() implies extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1
crd-ci-q4	error	ServiceRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'PA')
crd-ci-q5	error	ServiceRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	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 : 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()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

This structure is derived from ServiceRequest

Summary

Mandatory: 3 elements
Must-Support: 15 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

• CRD Service Request (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-servicerequest)
• CRD Medication Request (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-medicationrequest)
• CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient)
• CRD Encounter (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter)
• CRD Practitioner (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-practitioner)
• US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
• CRD Location (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-location)
• US Core Condition Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition)
• US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information

Maturity: 2

Differential View

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest			ServiceRequest
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	S	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier	S	0..*	Identifier	Identifiers assigned to this order
basedOn	S	0..*	Reference(CRD Service Request | CRD Medication Request)	What request fulfills
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Fixed Value: draft
doNotPerform	S	0..1	boolean	True if service/procedure should not be performed
code	S	1..1	CodeableConcept	Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service
quantity[x]	S	0..1	Quantity, Ratio, Range	Service amount
subject	S	1..1	Reference(CRD Patient)	Individual or Entity the service is ordered for
encounter		0..1	Reference(CRD Encounter)	Encounter in which the request was created
occurrence[x]	S	0..1	dateTime, Period, Timing	When service should occur
authoredOn	S	1..1	dateTime	Date request signed
requester	S	1..1	Reference(CRD Practitioner | US Core PractitionerRole Profile)	Who/what is requesting service
performer	S	0..*	Reference(CRD Practitioner | US Core PractitionerRole Profile)	Requested performer
locationReference	S	0..1	Reference(CRD Location)	Requested location
reasonCode	S	0..*	CodeableConcept	Explanation/Justification for procedure or service
reasonReference	S	0..*	Reference(US Core Condition Profile | US Core Laboratory Result Observation Profile)	Explanation/Justification for service or service
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
ServiceRequest.code	extensible	CRDServiceRequestCodes

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifiers assigned to this order
basedOn	SΣ	0..*	Reference(CRD Service Request | CRD Medication Request)	What request fulfills
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Fixed Value: draft
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
doNotPerform	?!SΣ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service
quantity[x]	SΣ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(CRD Patient)	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter in which the request was created
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	Date request signed
requester	SΣ	1..1	Reference(CRD Practitioner | US Core PractitionerRole Profile)	Who/what is requesting service
performer	SΣ	0..*	Reference(CRD Practitioner | US Core PractitionerRole Profile)	Requested performer
locationReference	SΣ	0..1	Reference(CRD Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	SΣ	0..*	Reference(US Core Condition Profile | US Core Laboratory Result Observation Profile)	Explanation/Justification for service or service
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.status	required	Fixed Value: draft
ServiceRequest.intent	required	RequestIntent
ServiceRequest.code	extensible	CRDServiceRequestCodes
ServiceRequest.reasonCode	example	ProcedureReasonCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	ServiceRequest.extension:Coverage-Information	Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' : extension.where(url='questionnaire' or url='response').exists() implies (extension.where(url = 'doc-needed').exists() and extension.where(url = 'doc-needed').all(value != 'no-doc'))
crd-ci-q2	error	ServiceRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' should not exist. : extension.where(url = 'covered' and value != 'not-covered') implies extension.where(url = 'pa-needed').exists()
crd-ci-q3	error	ServiceRequest.extension:Coverage-Information	If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. : extension.where(url = 'info-needed').exists() implies extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1
crd-ci-q4	error	ServiceRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'PA')
crd-ci-q5	error	ServiceRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	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 : 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()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifiers assigned to this order
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	0..*	Reference(CRD Service Request | CRD Medication Request)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Fixed Value: draft
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
category	Σ	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!SΣ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	SΣ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(CRD Patient)	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter in which the request was created
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	SΣ	1..1	dateTime	Date request signed
requester	SΣ	1..1	Reference(CRD Practitioner | US Core PractitionerRole Profile)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	SΣ	0..*	Reference(CRD Practitioner | US Core PractitionerRole Profile)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	SΣ	0..1	Reference(CRD Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	SΣ	0..*	Reference(US Core Condition Profile | US Core Laboratory Result Observation Profile)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	Fixed Value: draft
ServiceRequest.intent	required	RequestIntent
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.priority	required	RequestPriority
ServiceRequest.code	extensible	CRDServiceRequestCodes
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
ServiceRequest.performerType	example	ParticipantRoles
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	example	ProcedureReasonCodes
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	ServiceRequest.extension:Coverage-Information	Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' : extension.where(url='questionnaire' or url='response').exists() implies (extension.where(url = 'doc-needed').exists() and extension.where(url = 'doc-needed').all(value != 'no-doc'))
crd-ci-q2	error	ServiceRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' should not exist. : extension.where(url = 'covered' and value != 'not-covered') implies extension.where(url = 'pa-needed').exists()
crd-ci-q3	error	ServiceRequest.extension:Coverage-Information	If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. : extension.where(url = 'info-needed').exists() implies extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1
crd-ci-q4	error	ServiceRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'PA')
crd-ci-q5	error	ServiceRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	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 : 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()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

This structure is derived from ServiceRequest

Summary

Mandatory: 3 elements
Must-Support: 15 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

• CRD Service Request (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-servicerequest)
• CRD Medication Request (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-medicationrequest)
• CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient)
• CRD Encounter (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter)
• CRD Practitioner (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-practitioner)
• US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
• CRD Location (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-location)
• US Core Condition Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition)
• US Core Laboratory Result Observation Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information

Maturity: 2

Other representations of profile: CSV, Excel, Schematron