| Left: | US Core ServiceRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest) |
| Right: | PAS Service Request (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-servicerequest) |
| Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest' vs 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-servicerequest' |
| Error | StructureDefinition.version | Values for version differ: '8.0.0-ballot' vs '2.1.0' |
| Information | StructureDefinition.name | Values for name differ: 'USCoreServiceRequestProfile' vs 'PASServiceRequest' |
| Information | StructureDefinition.title | Values for title differ: 'US Core ServiceRequest Profile' vs 'PAS Service Request' |
| Information | StructureDefinition.date | Values for date differ: '2023-10-17' vs '2024-12-20T21:11:16+00:00' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Financial Management' |
| Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension' |
| Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension' |
| Warning | ServiceRequest.status | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | ServiceRequest.category | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | ServiceRequest.code | Element minimum cardinalities differ: '1' vs '0' |
| Information | StructureDefinition.short | Values for short differ: 'Service amount' vs 'A fixed quantity (no comparator)' |
| Information | StructureDefinition.definition | Values for definition differ: '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).' vs 'The comparator is not used on a SimpleQuantity' |
| Warning | ServiceRequest.quantity[x] | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | ServiceRequest.encounter | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | StructureDefinition.short | Values for short differ: 'When service should occur' vs 'A timing schedule that specifies an event that may occur multiple times' |
| Information | StructureDefinition.definition | Values for definition differ: 'The date/time at which the requested service should occur.' vs '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.' |
| Warning | ServiceRequest.authoredOn | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | ServiceRequest.requester | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service' vs 'Explanation/Justification for procedure or service' |
| Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service' vs 'Explanation/Justification for service or service' |
| 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 |
| |
| date | 2023-10-17 | 2024-12-20T21:11:16+00:00 |
|
| description | The US Core 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 sets minimum expectations for recording, searching, and fetching the ServiceRequest information. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. | PAS constraints on ServiceRequest resource mandating support for elements relevant to the generic services being requested on a prior authorization request |
|
| experimental | |||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCoreServiceRequestProfile | PASServiceRequest |
|
| publisher | HL7 International / Cross-Group Projects | HL7 International / Financial Management |
|
| purpose | |||
| status | active | ||
| title | US Core ServiceRequest Profile | PAS Service Request |
|
| type | ServiceRequest | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-servicerequest |
|
| version | 8.0.0-ballot | 2.1.0 |
|
| 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 prr-1: orderDetail SHALL only be present if code is present | C | 0..* | ServiceRequest | A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present | |||||||||
 id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
 extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
 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 | ?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of a service order. | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of a service order. |
| ||||||||
| intent | ?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of service request. | ?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of service request. Fixed Value: order | |||||||||
| Slices for category | SΣ | 0..* | 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. |
| ||||||||
| 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 | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed | |||||||||
| code | SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: ?? (extensible) | SΣ | 0..1 | CodeableConcept | What is being requested/ordered Binding: ?? (required) |
| ||||||||
| orderDetail | ΣC | 0..* | CodeableConcept | Additional order information Binding: ?? (example): Codified order entry details which are based on order context. | ΣC | 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 | SC | 0..1 | ?? | A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
| ||||||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile(7.0.0) S | Group | US Core Location Profile(7.0.0) | Device) | Individual or Entity the service is ordered for | SΣ | 1..1 | Reference(PAS Beneficiary Patient) | Individual or Entity the service is ordered for | |||||||||
| encounter | SΣ | 0..1 | Reference(US Core Encounter Profile(7.0.0)) | Encounter in which the request was created | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created |
| ||||||||
| occurrence[x] | SΣ | 0..1 | Period S, dateTime, Timing | When service should occur | S | 0..1 | ?? | A timing schedule that specifies an event that may occur multiple times | |||||||||
| 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 | SΣ | 0..1 | dateTime | Date request signed | Σ | 0..1 | dateTime | Date request signed |
| ||||||||
| requester | SΣ | 0..1 | Reference(US Core Practitioner Profile(7.0.0) S | US Core Organization Profile(7.0.0) | US Core Patient Profile(7.0.0) | PractitionerRole | US Core RelatedPerson Profile(7.0.0) | Device) | Who/what is requesting service | 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 | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: ?? (extensible) | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ?? (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. | |||||||||
| reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | |||||||||
| 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. | Σ | 0..* | CodeableConcept | Location on Body Binding: ?? (example): Codes describing anatomical locations. May include laterality. | |||||||||
| 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 | |||||||||||||||||