HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
1.1.0 - STU 2 Ballot
HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
1.1.0 - STU 2 Ballot
This page is part of the electronic Case Reporting (eCR) (v1.1.0: STU 2 on FHIR R4 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions 
| Defining URL: | http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-servicerequest |
| Version: | 1.1.0 |
| Name: | Eicr_ServiceRequest |
| Title: | eICR ServiceRequest |
| Status: | Active as of 2020-12-16T19:27:50+00:00 |
| Definition: | This ServiceRequest profile represents eICR laboratory orders and other diagnostics for the eICR event. |
| Publisher: | HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm) |
| Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-servicerequest
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ServiceRequest
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ServiceRequest | S | 0..* | ServiceRequest | eICR ServiceRequest |
  identifier | S | 0..* | Identifier | Identifiers assigned to this order |
| code | S | 1..1 | CodeableConcept | What is being requested/ordered Binding: LOINCDiagnosticReportCodes (extensible): This value set includes all the LOINC codes which relate to Diagnostic Orders. |
 subject | 1..1 | Reference(Patient) | Individual or Entity the service is ordered for | |
| authoredOn | S | 0..1 | dateTime | Date request signed |
 requester | S | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | SI | 0..* | ServiceRequest | eICR ServiceRequest |
 id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional content defined by implementations | |
 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 | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills |
| replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces |
| requisition | Σ | 0..1 | Identifier | Composite Request ID |
| status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. |
| 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 | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed |
| code | SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: LOINCDiagnosticReportCodes (extensible): This value set includes all the LOINC codes which relate to Diagnostic Orders. |
| orderDetail | ΣI | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. |
  quantity[x] | Σ | 0..1 | Service amount | |
 quantityQuantity | Quantity | |||
| quantityRatio | Ratio | |||
| quantityRange | Range | |||
| subject | Σ | 1..1 | Reference(Patient) | Individual or Entity the service is ordered for |
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created |
| occurrence[x] | Σ | 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 | 0..1 | dateTime | Date request signed |
| requester | SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | 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 | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer |
| locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. |
| locationReference | Σ | 0..* | Reference(Location) | Requested location |
| reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. |
| reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | 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 | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | I | 0..* | ServiceRequest | eICR ServiceRequest |
| identifier | Σ | 0..* | Identifier | Identifiers assigned to this order |
| code | Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: LOINCDiagnosticReportCodes (extensible): This value set includes all the LOINC codes which relate to Diagnostic Orders. |
| authoredOn | Σ | 0..1 | dateTime | Date request signed |
| requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service |
| Documentation for this format | ||||
This structure is derived from ServiceRequest
Differential View
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | S | 0..* | ServiceRequest | eICR ServiceRequest |
| identifier | S | 0..* | Identifier | Identifiers assigned to this order |
| code | S | 1..1 | CodeableConcept | What is being requested/ordered Binding: LOINCDiagnosticReportCodes (extensible): This value set includes all the LOINC codes which relate to Diagnostic Orders. |
| subject | 1..1 | Reference(Patient) | Individual or Entity the service is ordered for | |
| authoredOn | S | 0..1 | dateTime | Date request signed |
| requester | S | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | SI | 0..* | ServiceRequest | eICR ServiceRequest |
| id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| 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 | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills |
| replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces |
| requisition | Σ | 0..1 | Identifier | Composite Request ID |
| status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. |
| 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 | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed |
| code | SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: LOINCDiagnosticReportCodes (extensible): This value set includes all the LOINC codes which relate to Diagnostic Orders. |
| orderDetail | ΣI | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. |
| quantity[x] | Σ | 0..1 | Service amount | |
| quantityQuantity | Quantity | |||
| quantityRatio | Ratio | |||
| quantityRange | Range | |||
| subject | Σ | 1..1 | Reference(Patient) | Individual or Entity the service is ordered for |
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created |
| occurrence[x] | Σ | 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 | 0..1 | dateTime | Date request signed |
| requester | SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | 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 | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer |
| locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. |
| locationReference | Σ | 0..* | Reference(Location) | Requested location |
| reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. |
| reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | 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 | ||||
Other representations of profile: Schematron
| Path | Conformance | ValueSet |
| ServiceRequest.language | preferred | CommonLanguages Max Binding: AllLanguages |
| ServiceRequest.status | required | RequestStatus |
| ServiceRequest.intent | required | RequestIntent |
| ServiceRequest.category | example | ServiceRequestCategoryCodes |
| ServiceRequest.priority | required | RequestPriority |
| ServiceRequest.code | extensible | LOINCDiagnosticReportCodes |
| 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 |
| Id | Path | Details | Requirements |
| dom-2 | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | 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 | 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 | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | ServiceRequest | A resource should have narrative for robust management : text.`div`.exists() | |
| prr-1 | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() | |
| ele-1 | ServiceRequest.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | ServiceRequest.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | ServiceRequest.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | ServiceRequest.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | ServiceRequest.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.instantiatesCanonical | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.instantiatesUri | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.basedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.replaces | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.requisition | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.intent | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.priority | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.doNotPerform | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.orderDetail | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.quantity[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.encounter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.occurrence[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.asNeeded[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.authoredOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.requester | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.performerType | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.locationCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.locationReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.reasonCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.reasonReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.insurance | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.supportingInfo | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.specimen | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.bodySite | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.patientInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.relevantHistory | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
IG © 2020+ HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm). Package hl7.fhir.us.ecr#1.1.0 based on FHIR 4.0.1. Generated 2020-12-16
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