Guidance

Reference Guidance for use of the Service Not Requested profile can be found here.

• See the Social Determinants of Health (SDOH) Guidance Page for more information when exchanging Social Determinants of Health (SDOH) Service Requests.
• The ServiceRequest.category binding must support at a minimum the US Core ServiceRequest Category Codes. However, this valueset can be treated as extensible and other category codes can be used instead.
• The ServiceRequest.code.extension:notDoneValueSet valueset identifies a set of possible coded values representing activities that were not requested, ordered, or performed.
• The ServiceRequest.subject is Must Support with Must Support reference to QI Core Patient

The ServiceRequest and ServiceNotRequested profiles represent the positive and negative statements for a service request.

See the patterns page for implementation and usage patterns.

Examples

Both of these example instances meet measure intent for exclusion as defined in the following example CQL:

define "Intermittent Pneumatic Compression Devices Not Ordered":
  ["ServiceNotRequested": "Application of intermittent pneumatic compression devices (IPC)"] DeviceNotOrdered
    where (DeviceNotOrdered.reasonRefused in "Medical Reason"
      or DeviceNotOrdered.reasonRefused in "Patient Refusal")
      and DeviceNotOrdered.status in { 'active', 'completed', 'on-hold' }

For a more complete discussion of representation of negation within QICore and quality improvement artifacts, see the Negation in QI Core topic.