| Left: | US Core ServiceRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest) |
| Right: | ServiceRequest_eltss (http://hl7.org/fhir/us/eltss/StructureDefinition/ServiceRequest-eltss) |
| Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest' vs 'http://hl7.org/fhir/us/eltss/StructureDefinition/ServiceRequest-eltss' |
| Error | StructureDefinition.version | Values for version differ: '6.1.0' vs '2.0.0-ballot' |
| Information | StructureDefinition.name | Values for name differ: 'USCoreServiceRequestProfile' vs 'ServiceRequest_eltss' |
| Information | StructureDefinition.date | Values for date differ: '2022-10-07' vs '2019-02-17T00:00:00-05:00' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International / Human and Social Services' |
| Information | StructureDefinition.definition | Values for definition differ: '\-' vs 'A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.' |
| 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' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown' vs 'draft | active | on-hold | revoked | completed | entered-in-error | unknown' |
| Information | StructureDefinition.comment | Values for comment differ: 'The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](http://hl7.org/fhir/R4/event.html) for general discussion) or using the [Task](http://hl7.org/fhir/R4/task.html) resource.' vs 'The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](event.html) for general discussion) or using the [Task](task.html) resource.' |
| Warning | ServiceRequest.status | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option' vs 'proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option' |
| Warning | ServiceRequest.intent | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) Classification of service' vs 'Classification of service' |
| Warning | ServiceRequest.category | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) What is being requested/ordered' vs 'Service Name' |
| Information | StructureDefinition.definition | Values for definition differ: 'A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested.' vs 'Identifies the paid and/or non-paid service provided to a person. Include the code and display name plus any modifiers when a coding system (e.g., Healthcare Common Procedure Coding System (HCPCS), Home Health Revenue Codes) is used.' |
| Information | StructureDefinition.comment | Values for comment differ: '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.' vs 'Use HCPCS (https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/) code + modifiers or free text.' |
| Information | ServiceRequest.code | Element minimum cardinalities differ: '1' vs '0' |
| Information | StructureDefinition.short | Values for short differ: 'Service amount' vs 'Service Unit Quantity + Unit Type + Time Interval' |
| 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 numerical amount/unit or Interval of the service unit being provided.' |
| Warning | ServiceRequest.quantity[x] | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) Individual or Entity the service is ordered for' vs 'Individual or Entity the service is ordered for' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) When service should occur' vs 'Service Start + End Date' |
| Information | StructureDefinition.definition | Values for definition differ: 'The date/time at which the requested service should occur.' vs 'The start and end date of the service being provided.' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) Date request signed' vs 'Date request signed' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) Who/what is requesting service' vs 'Who/what is requesting service' |
| Information | StructureDefinition.short | Values for short differ: 'Requested performer' vs 'Service Provider Name + Phone + Relationship' |
| Information | StructureDefinition.definition | Values for definition differ: 'The desired performer for doing the requested service. For example, the surgeon, dermatopathologist, endoscopist, etc.' vs 'The entity or individual providing the service. For paid services use the organization/agency name, for non-paid services use the first and last name of the individual providing the service.' |
| Warning | ServiceRequest.performer | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: 'Requested location' vs 'Service Delivery Address' |
| Information | StructureDefinition.definition | Values for definition differ: 'A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center.' vs 'The address where service delivery will take place if service will not be provided at the person's address.' |
| Warning | ServiceRequest.locationReference | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) Explanation/Justification for procedure or service' vs 'Explanation/Justification for procedure or service' |
| Information | StructureDefinition.comment | Values for comment differ: 'This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](http://hl7.org/fhir/R4/servicerequest-example-di.html).' vs 'This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html).' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) US Core Profile that supports the requested service' vs 'Explanation/Justification for service or service' |
| Information | StructureDefinition.comment | Values for comment differ: 'This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to *Observation* or *Condition* should be used if available. Otherwise when referencing *DiagnosticReport* it should contain a finding in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](http://hl7.org/fhir/R4/servicerequest-example-di.html).' vs 'This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to *Observation* or *Condition* should be used if available. Otherwise when referencing *DiagnosticReport* it should contain a finding in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html).' |
| Information | StructureDefinition.short | Values for short differ: 'Associated insurance coverage' vs 'Service Funding Source' |
| Information | StructureDefinition.definition | Values for definition differ: 'Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service.' vs 'The source of payment for the service.' |
| Warning | ServiceRequest.insurance | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | ServiceRequest.supportingInfo | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.comment | Values for comment differ: 'Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the [Specimen](http://hl7.org/fhir/R4/specimen.html) resource points to the ServiceRequest.' vs 'Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the [Specimen](specimen.html) resource points to the ServiceRequest.' |
| Information | StructureDefinition.short | Values for short differ: 'Comments' vs 'Service Comment' |
| Information | StructureDefinition.definition | Values for definition differ: 'Any other notes and comments made about the service request. For example, internal billing notes.' vs 'Additional information related to the service being provided. This field could capture additional information of the frequency of the service, how the person wants the service delivered and only used when the comment provides additional detail of the service not already handled by another element.' |
| Warning | ServiceRequest.note | Elements differ in definition for mustSupport: 'false' vs 'true' |
| 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 | 2022-10-07 | 2019-02-17T00:00:00-05:00 |
|
| description | This profile sets minimum expectations for recording, searching, and fetching the ServiceRequest resource to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases. | ServiceRequest resource mapping for eLTSS |
|
| experimental | false |
| |
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCoreServiceRequestProfile | ServiceRequest_eltss |
|
| publisher | HL7 International - Cross-Group Projects | HL7 International / Human and Social Services |
|
| purpose | |||
| status | active | ||
| title | US Core ServiceRequest Profile |
| |
| type | ServiceRequest | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest | http://hl7.org/fhir/us/eltss/StructureDefinition/ServiceRequest-eltss |
|
| version | 6.1.0 | 2.0.0-ballot |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed | C | 0..* | ServiceRequest | A request for a service to be performed | |||||||||
 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_eltss | ServiceRequest_eltss | MedicationRequest) | What request fulfills | |||||||||
| replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces | Σ | 0..* | Reference(ServiceRequest_eltss) | What request replaces | |||||||||
| requisition | Σ | 0..1 | Identifier | Composite Request ID | Σ | 0..1 | Identifier | Composite Request ID | |||||||||
| status | ?!SΣ | 1..1 | code | (USCDI) 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 | (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of service request. | ?!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 | SΣ | 0..* | CodeableConcept | (USCDI) Classification of service Slice: Unordered, Open by pattern:$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 | (USCDI) What is being requested/ordered Binding: ?? (extensible) | SΣ | 0..1 | CodeableConcept | Service Name Binding: ?? (preferred): Use HCPCS (https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/) code + modifiers or free text. |
| ||||||||
 id | 0..1 | string | Unique id for inter-element referencing |
| |||||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| |||||||||||||
| coding | SΣ | 0..* | Coding | Code defined by a terminology system |
| ||||||||||||
| text | SΣ | 0..1 | string | Plain text representation of the concept |
| ||||||||||||
| 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 | SΣ | 0..1 | Quantity, Ratio, Range | Service Unit Quantity + Unit Type + Time Interval Slice: Unordered, Open by type:$this |
| ||||||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | (USCDI) Individual or Entity the service is ordered for | SΣ | 1..1 | Reference(Patient_eltss S | Group | US Core Implantable Device Profile | Device | Location_eltss) | Individual or Entity the service is ordered for | |||||||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created | Σ | 0..1 | Reference(US Core Encounter Profile) | Encounter in which the request was created | |||||||||
| occurrence[x] | SΣ | 0..1 | Period S, dateTime, Timing | (USCDI) When service should occur | SΣ | 0..1 | dateTime, Period, Timing | Service Start + End Date Slice: Unordered, Open by type:$this | |||||||||
| 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 | (USCDI) Date request signed | SΣ | 0..1 | dateTime | Date request signed | |||||||||
| requester | SΣ | 0..1 | Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile | Device) | (USCDI) Who/what is requesting service | SΣ | 0..1 | Reference(Practitioner_eltss S | eLTSS PractitionerRole Profile | Patient_eltss | US Core Organization Profile | eLTSS RelatedPerson Profile | US Core Implantable Device Profile | 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 | SΣ | 0..* | Reference(Practitioner_eltss S | eLTSS PractitionerRole Profile S | Patient_eltss S | US Core Organization Profile S | eLTSS RelatedPerson Profile S | US Core Implantable Device Profile | Device | US Core CareTeam Profile | HealthcareService) | Service Provider Name + Phone + Relationship |
| ||||||||
| 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 | SΣ | 0..* | Reference(Location_eltss) | Service Delivery Address |
| ||||||||
| reasonCode | Σ | 0..* | CodeableConcept | (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) | (USCDI) US Core Profile that supports the requested service | Σ | 0..* | Reference(Condition_eltss | Observation_eltss | US Core DiagnosticReport Profile for Report and Note exchange | US Core DocumentReference Profile) | Explanation/Justification for service or service | |||||||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | S | 0..* | Reference(Coverage S | ClaimResponse) | Service Funding Source |
| |||||||||
| supportingInfo | 0..* | Reference(Resource) | Additional clinical information | S | 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 | S | 0..* | Annotation | Service Comment |
| |||||||||
| 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 | |||||||||||||||||