| Left: | US Core ServiceRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest) |
| Right: | PA Service Request (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-servicerequest) |
| Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest' vs 'http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-servicerequest' |
| Error | StructureDefinition.version | Values for version differ: '6.0.0-ballot' vs '1.0.0-ballot' |
| Information | StructureDefinition.name | Values for name differ: 'USCoreServiceRequestProfile' vs 'PAServiceRequest' |
| Information | StructureDefinition.title | Values for title differ: 'US Core ServiceRequest Profile' vs 'PA Service Request' |
| Information | StructureDefinition.date | Values for date differ: '2022-10-07' vs '2023-03-28T18:30:00+00:00' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International - Patient Care WG' |
| Warning | ServiceRequest | Elements differ in definition: '\-' vs 'Represents orders and referrals for interventions that help to improve or maintain a patient's level of physical activity' |
| Information | ServiceRequest.implicitRules | Element maximum cardinalities differ: '1' vs '0' |
| Warning | ServiceRequest.extension | Elements differ in short: 'Additional content defined by implementations' vs 'Extension' |
| Warning | ServiceRequest.extension | Elements differ in definition: '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.modifierExtension | Elements differ in short: 'Extensions that cannot be ignored' vs 'Extension' |
| Warning | ServiceRequest.modifierExtension | Elements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'An Extension' |
| Information | ServiceRequest.modifierExtension | Element maximum cardinalities differ: '2147483647' vs '0' |
| Warning | ServiceRequest.intent | Elements differ in short: 'proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option' vs 'original-order | order | filler-order' |
| Warning | ServiceRequest.intent | Elements differ in comments: 'This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.' vs 'This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. Multiple codes are allowed to support situations where a Task might point to a filler order instead of an original. However, in almost all cases, the intent should be 'original-order' or just 'order'.' |
| Warning | ServiceRequest.category | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | ServiceRequest.category | Element minimum cardinalities differ: '0' vs '2' |
| Warning | ServiceRequest.priority | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | ServiceRequest.doNotPerform | Element maximum cardinalities differ: '1' vs '0' |
| Warning | ServiceRequest.subject | Elements differ in short: 'Individual or Entity the service is ordered for' vs 'A reference from one resource to another' |
| Warning | ServiceRequest.subject | Elements differ in definition: 'On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans).' vs 'A reference from one resource to another.' |
| Warning | ServiceRequest.requester | Elements differ in short: 'Who/what is requesting service' vs 'A reference from one resource to another' |
| Warning | ServiceRequest.requester | Elements differ in definition: 'The individual who initiated the request and has responsibility for its activation.' vs 'A reference from one resource to another.' |
| Warning | ServiceRequest.requester | Elements differ in comments: 'This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource.' vs 'References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.' |
| Warning | ServiceRequest.performer | Elements differ in short: 'Requested performer' vs 'A reference from one resource to another' |
| Warning | ServiceRequest.performer | Elements differ in definition: 'The desired performer for doing the requested service. For example, the surgeon, dermatopathologist, endoscopist, etc.' vs 'A reference from one resource to another.' |
| Warning | ServiceRequest.performer | Elements differ in comments: 'If multiple performers are present, it is interpreted as a list of *alternative* performers without any preference regardless of order. If order of preference is needed use the [request-performerOrder extension]. Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B).' vs 'References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.' |
| Warning | ServiceRequest.performer | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Error | ServiceRequest.performer | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam], CanonicalType[http://hl7.org/fhir/StructureDefinition/HealthcareService], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/physical-activity/StructureDefinition/reference-rest-or-logical]])([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-relatedperson]]) |
| Warning | ServiceRequest.reasonCode | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | ServiceRequest.reasonCode.text | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | ServiceRequest.supportingInfo | Elements differ in short: 'Additional clinical information' vs 'A reference from one resource to another' |
| Warning | ServiceRequest.supportingInfo | Elements differ in definition: 'Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as 'ask at order entry questions (AOEs)'. This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.' vs 'A reference from one resource to another.' |
| Warning | ServiceRequest.supportingInfo | Elements differ in comments: 'To represent information about how the services are to be delivered use the `instructions` element.' vs 'References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. A variety of resources might provide support for asserting this condition, however at minimum, systems must support the Physical Activity Vital Sign observations.' |
| Information | ServiceRequest.specimen | Element maximum cardinalities differ: '2147483647' vs '0' |
| 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 | 2023-03-28T18:30:00+00:00 |
|
| 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 when using this profile. It provides the floor for standards development for specific use cases.fhirVersion: 4.0.1 | Represents orders and referrals for interventions that help to improve or maintain a patient's level of physical activity |
|
| experimental | |||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCoreServiceRequestProfile | PAServiceRequest |
|
| publisher | HL7 International - Cross-Group Projects | HL7 International - Patient Care WG |
|
| purpose | |||
| status | active | ||
| title | US Core ServiceRequest Profile | PA Service Request |
|
| type | ServiceRequest | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest | http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-servicerequest |
|
| version | 6.0.0-ballot | 1.0.0-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..0 |
| ||||||||||
| 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..0 |
| ||||||||||
| 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. | ?!SΣ | 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 | original-order | order | filler-order Binding: ?? (required) |
| ||||||||
| Slices for category | SΣ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ?? (example): Classification of the requested service. | Σ | 2..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this 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. | SΣ | 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..0 |
| ||||||||||
| code | SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: ?? (extensible) | SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: ?? (extensible) | |||||||||
| 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 | Σ | 0..1 | Quantity, Ratio, Range | Service amount | |||||||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Individual or Entity the service is ordered for | SΣ | 1..1 | Reference(US Core Patient Profile) | A reference from one resource to another |
| ||||||||
| encounter | Σ | 0..1 | Reference(Encounter) | 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 | SΣ | 0..1 | dateTime, Period S, Timing | When service should occur 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 | 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) | Who/what is requesting service | SΣ | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | A reference from one resource to another |
| ||||||||
| 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(US Core Patient Profile S | US Core Practitioner Profile S | US Core PractitionerRole Profile S | US Core Organization Profile S | PA Related Person) | A reference from one resource to another |
| ||||||||
| locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ?? (example): A location type where services are delivered. | Σ | 0..* | CodeableConcept | Requested location Binding: ?? (example): A location type where services are delivered. | |||||||||
| locationReference | Σ | 0..* | Reference(Location) | Requested location | Σ | 0..* | Reference(Location) | Requested location | |||||||||
 reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ?? (extensible) | SΣ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ?? (extensible) |
| ||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 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 | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | Σ | 0..* | Coding | Code defined by a terminology system | |||||||||
| text | Σ | 0..1 | string | Plain text representation of the concept | SΣ | 0..1 | string | Plain text representation of the concept |
| ||||||||
| reasonReference | Σ | 0..* | Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile | US Core DiagnosticReport Profile for Report and Note exchange | US Core DiagnosticReport Profile for Laboratory Results Reporting | US Core DocumentReference Profile | US Core Laboratory Result Observation Profile | US Core Observation Pregnancy Status Profile | US Core Observation Pregnancy Intent Profile | US Core Observation Occupation Profile | US Core Respiratory Rate Profile | US Core Simple Observation Profile | US Core Heart Rate Profile | US Core Smoking Status Observation Profile | US Core Observation Screening Assessment Profile | US Core Observation Clinical Result Profile | US Core Vital Signs Profile) | Explanation/Justification for service or service | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service Slice: Unordered, Open by profile:resolve() | |||||||||
| 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) | A reference from one resource to another Slice: Unordered, Open by profile:resolve() |
| ||||||||||
| specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples | Σ | 0..0 |
| ||||||||||
| 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 | |||||||||||||||||