SDOH Clinical Care
2.1.0 - STU 2.1
SDOH Clinical Care
2.1.0 - STU 2.1
This page is part of the SDOH Clinical Care for Multiple Domains (v2.1.0: STU 2.1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest | Version: 2.1.0 | |||
| Draft as of 2023-07-27 | Computable Name: SDOHCCServiceRequest | |||
Profile for service requests that address Social Determinants of Health.
SDOHCC ServiceRequest is generally intended to represent a service request to address an identified social risk or need (i.e., SDOHCC Condition, SDOHCC Observation Screening Response, SDOHCC Observation Assessment). An SDOHCC ServiceRequest can pertain to an SDOHCC Goal, and can reference the patient’s consent for the referral (i.e., SDOHCC Consent). An SDOHCC ServiceRequest can be the focus of an SDOHCC Task For Referral Management and an SDOHCC Procedure can be an based on an SDOHCC ServiceRequest. See the Data Modeling Framework for more detail on the relationships between SDOHCC ServiceRequest and the other profiles in this IG.
Rather than offer a separate ServiceRequest profile for each SDOH category (also called domain – e.g., food insecurity, transportation insecurity), this profile can support any SDOH category. For ServiceRequest.code, the minimum value set bindings are specified in the profile. Additionally, based on the code selected for the optional ServiceRequest.category slice, the Table below provides the Gravity-vetted, preferred value sets for ServiceRequest.code. Where a preferred value set contains a code to describe a needed concept, servers SHOULD use that code.
The preferred value sets in the Table are hosted in the NIH Value Set Authority Center (VSAC). The Social Determinants of Health Service Requests Value Set in VSAC is a grouper value set containing all members of the VSAC Value Sets below. The Gravity Project plans to continue to work with the HL7 Vocabulary WG to determine how best to represent and validate these preferred, category-specific value sets.
ServiceRequest.category |
Domain | ServiceRequest.code ValueSet |
ValueSet OID |
|---|---|---|---|
| educational-attainment | Educational Attainment | VSAC - Less than high school education ServiceRequests | 2.16.840.1.113762.1.4.1247.57 |
| elder-abuse | Elder Abuse | VSAC - Elder Abuse ServiceRequests | 2.16.840.1.113762.1.4.1247.68 |
| employment-status | Employment Status | VSAC - Unemployment ServiceRequests | 2.16.840.1.113762.1.4.1247.60 |
| financial-insecurity | Financial Insecurity | VSAC - Financial Insecurity ServiceRequests | 2.16.840.1.113762.1.4.1247.31 |
| food-insecurity | Food Insecurity | VSAC - Food Insecurity ServiceRequests | 2.16.840.1.113762.1.4.1247.11 |
| health-insurance-coverage-status | Health Insurance Coverage Status | VSAC - Health Insurance Coverage Status ServiceRequests | 2.16.840.1.113762.1.4.1247.124 |
| health-literacy | Health Literacy | VSAC - Health Literacy ServiceRequests | 2.16.840.1.113762.1.4.1247.119 |
| homelessness | Homelessness | VSAC - Homelessness ServiceRequests | 2.16.840.1.113762.1.4.1247.21 |
| housing-instability | Housing Instability | VSAC - Housing Instability ServiceRequests | 2.16.840.1.113762.1.4.1247.45 |
| inadequate-housing | Inadequate Housing | VSAC - Inadequate Housing ServiceRequests | 2.16.840.1.113762.1.4.1247.53 |
| intimate-partner-violence | Intimate Partner Violence | VSAC - Intimate Partner Violence ServiceRequests | 2.16.840.1.113762.1.4.1247.98 |
| material-hardship | Material Hardship | VSAC - Material Hardship ServiceRequests | 2.16.840.1.113762.1.4.1247.38 |
| medical-cost-burden | Medical Cost Burden | VSAC - Medical Cost Burden ServiceRequests | 2.16.840.1.113762.1.4.1247.123 |
| social-connection | Social Connection | VSAC - Social Connection ServiceRequests | 2.16.840.1.113762.1.4.1247.95 |
| stress | Stress | VSAC - Stress ServiceRequests | 2.16.840.1.113762.1.4.1247.92 |
| transportation-insecurity | Transportation Insecurity | VSAC - Transportation Insecurity ServiceRequests | 2.16.840.1.113762.1.4.1247.28 |
| veteran-status | Veteran Status | VSAC - Veteran Status ServiceRequests | 2.16.840.1.113762.1.4.1247.91 |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ServiceRequest | 0..* | ServiceRequest | A request for a service to address an SDOH condition, observation or goal. | |
  Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
  pertainsToGoal | S | 0..* | Reference(Goal) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal |
   value[x] | S | 1..1 | Reference(SDOHCC Goal) | Value of extension |
 Slices for basedOn | 0..* | Reference(CarePlan | ServiceRequest) | What request fulfills Slice: Unordered, Open by profile:resolve() | |
 basedOn:SupportedBasedOn | S | 0..* | Reference(SDOHCC ServiceRequest) | What request fulfills |
 status | S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown |
| intent | S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option |
| Slices for category | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this | |
| category:SDOH | S | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
| priority | S | 0..1 | code | routine | urgent | asap | stat |
| code | S | 1..1 | CodeableConcept | What is being requested/ordered. Binding: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. |
| Slices for orderDetail | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by pattern:coding | |
 orderDetail:SubjectContactDetail | S | 0..1 | CodeableConcept | Additional order information Required Pattern: At least the following |
   coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: contacting-subject-prohibited | |
| subject | S | 1..1 | Reference(Group | US Core Patient Profile | US Core Location Profile) | Individual or Entity the service is ordered for |
| occurrence[x] | S | 0..1 | dateTime, Period, Timing | When service should occur |
| authoredOn | S | 0..1 | dateTime | Date request signed |
| requester | S | 0..1 | Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile) | Who/what is requesting service |
| performer | S | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) | Requested performer |
| reasonCode | 0..* | CodeableConcept | Explanation/Justification for procedure or service | |
| Slices for reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service Slice: Unordered, Open by profile:resolve() | |
| reasonReference:SupportedReasonReference | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Explanation/Justification for service or service |
| Slices for supportingInfo | 0..* | Reference(Resource) | Additional clinical information Slice: Unordered, Open by profile:resolve() | |
| supportingInfo:SupportedSupportingInfo | S | 0..* | Reference(SDOHCC Consent) | Additional clinical information |
| specimen | 0..0 | |||
| bodySite | 0..0 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| ServiceRequest.category:SDOH | required | SDOHCCValueSetSDOHCategory |
| ServiceRequest.code | required | USCoreProcedureCodes |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | C | 0..* | ServiceRequest | A request for a service to address an SDOH condition, observation or goal. |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| pertainsToGoal | S | 0..* | Reference(Goal) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal |
 extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal" | |
| value[x] | S | 1..1 | Reference(SDOHCC Goal) | Value of extension |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | What request fulfills Slice: Unordered, Open by profile:resolve() |
| basedOn:SupportedBasedOn | SΣ | 0..* | Reference(SDOHCC ServiceRequest) | What request fulfills |
| status | ?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (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: RequestIntent (required): The kind of service request. |
| Slices for category | Σ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. |
| category:SDOH | SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
| priority | SΣ | 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: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. |
| Slices for orderDetail | ΣC | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by pattern:coding Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. |
| orderDetail:SubjectContactDetail | SΣC | 0..1 | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: contacting-subject-prohibited | |
| subject | SΣ | 1..1 | Reference(Group | US Core Patient Profile | US Core Location Profile) | Individual or Entity the service is ordered for |
 occurrence[x] | SΣ | 0..1 | When service should occur | |
| occurrenceDateTime | dateTime | |||
| occurrencePeriod | Period | |||
| occurrenceTiming | Timing | |||
| authoredOn | SΣ | 0..1 | dateTime | Date request signed |
| requester | SΣ | 0..1 | Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile) | Who/what is requesting service |
| performer | SΣ | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) | Requested performer |
| 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. |
| Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service Slice: Unordered, Open by profile:resolve() |
| reasonReference:SupportedReasonReference | SΣ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Explanation/Justification for service or service |
 Slices for supportingInfo | 0..* | Reference(Resource) | Additional clinical information Slice: Unordered, Open by profile:resolve() | |
| supportingInfo:SupportedSupportingInfo | S | 0..* | Reference(SDOHCC Consent) | Additional clinical information |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| ServiceRequest.status | required | RequestStatus |
| ServiceRequest.intent | required | RequestIntent |
| ServiceRequest.category | example | ServiceRequestCategoryCodes |
| ServiceRequest.category:SDOH | required | SDOHCCValueSetSDOHCategory |
| ServiceRequest.priority | required | RequestPriority |
| ServiceRequest.code | required | USCoreProcedureCodes |
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes |
| ServiceRequest.orderDetail:SubjectContactDetail | example | Pattern: contacting-subject-prohibited |
| ServiceRequest.reasonCode | example | ProcedureReasonCodes |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest | C | 0..* | ServiceRequest | A request for a service to address an SDOH condition, observation or goal. | ||||
| id | Σ | 0..1 | id | 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): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| pertainsToGoal | S | 0..* | Reference(Goal) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal" | |||||
| value[x] | S | 1..1 | Reference(SDOHCC Goal) | Value of extension | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 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 | ||||
| Slices for basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | What request fulfills Slice: Unordered, Open by profile:resolve() | ||||
| basedOn:SupportedBasedOn | SΣ | 0..* | Reference(SDOHCC ServiceRequest) | What request fulfills | ||||
| replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces | ||||
| requisition | Σ | 0..1 | Identifier | Composite Request ID | ||||
| status | ?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (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: RequestIntent (required): The kind of service request. | ||||
| Slices for category | Σ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||
| category:SDOH | SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. | ||||
| priority | SΣ | 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: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. | ||||
| Slices for orderDetail | ΣC | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by pattern:coding Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
| orderDetail:SubjectContactDetail | SΣC | 0..1 | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: contacting-subject-prohibited | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| quantity[x] | Σ | 0..1 | Service amount | |||||
| quantityQuantity | Quantity | |||||||
| quantityRatio | Ratio | |||||||
| quantityRange | Range | |||||||
| subject | SΣ | 1..1 | Reference(Group | US Core Patient Profile | US Core Location Profile) | Individual or Entity the service is ordered for | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created | ||||
| occurrence[x] | SΣ | 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(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile) | 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 | SΣ | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) | 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. | ||||
| Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service Slice: Unordered, Open by profile:resolve() | ||||
| reasonReference:SupportedReasonReference | SΣ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Explanation/Justification for service or service | ||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| Slices for supportingInfo | 0..* | Reference(Resource) | Additional clinical information Slice: Unordered, Open by profile:resolve() | |||||
| supportingInfo:SupportedSupportingInfo | S | 0..* | Reference(SDOHCC Consent) | Additional clinical information | ||||
| note | 0..* | Annotation | Comments | |||||
| patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
| relevantHistory | 0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| ServiceRequest.language | preferred | CommonLanguages
| ||||
| ServiceRequest.status | required | RequestStatus | ||||
| ServiceRequest.intent | required | RequestIntent | ||||
| ServiceRequest.category | example | ServiceRequestCategoryCodes | ||||
| ServiceRequest.category:SDOH | required | SDOHCCValueSetSDOHCategory | ||||
| ServiceRequest.priority | required | RequestPriority | ||||
| ServiceRequest.code | required | USCoreProcedureCodes | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes | ||||
| ServiceRequest.orderDetail:SubjectContactDetail | example | Pattern: contacting-subject-prohibited | ||||
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes | ||||
| ServiceRequest.performerType | example | ParticipantRoles | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleType | ||||
| ServiceRequest.reasonCode | example | ProcedureReasonCodes |
This structure is derived from ServiceRequest
Summary
Mandatory: 1 element
Must-Support: 16 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | 0..* | ServiceRequest | A request for a service to address an SDOH condition, observation or goal. | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| pertainsToGoal | S | 0..* | Reference(Goal) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal |
| value[x] | S | 1..1 | Reference(SDOHCC Goal) | Value of extension |
| Slices for basedOn | 0..* | Reference(CarePlan | ServiceRequest) | What request fulfills Slice: Unordered, Open by profile:resolve() | |
| basedOn:SupportedBasedOn | S | 0..* | Reference(SDOHCC ServiceRequest) | What request fulfills |
| status | S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown |
| intent | S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option |
| Slices for category | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this | |
| category:SDOH | S | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
| priority | S | 0..1 | code | routine | urgent | asap | stat |
| code | S | 1..1 | CodeableConcept | What is being requested/ordered. Binding: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. |
| Slices for orderDetail | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by pattern:coding | |
| orderDetail:SubjectContactDetail | S | 0..1 | CodeableConcept | Additional order information Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: contacting-subject-prohibited | |
| subject | S | 1..1 | Reference(Group | US Core Patient Profile | US Core Location Profile) | Individual or Entity the service is ordered for |
| occurrence[x] | S | 0..1 | dateTime, Period, Timing | When service should occur |
| authoredOn | S | 0..1 | dateTime | Date request signed |
| requester | S | 0..1 | Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile) | Who/what is requesting service |
| performer | S | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) | Requested performer |
| reasonCode | 0..* | CodeableConcept | Explanation/Justification for procedure or service | |
| Slices for reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service Slice: Unordered, Open by profile:resolve() | |
| reasonReference:SupportedReasonReference | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Explanation/Justification for service or service |
| Slices for supportingInfo | 0..* | Reference(Resource) | Additional clinical information Slice: Unordered, Open by profile:resolve() | |
| supportingInfo:SupportedSupportingInfo | S | 0..* | Reference(SDOHCC Consent) | Additional clinical information |
| specimen | 0..0 | |||
| bodySite | 0..0 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| ServiceRequest.category:SDOH | required | SDOHCCValueSetSDOHCategory |
| ServiceRequest.code | required | USCoreProcedureCodes |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | C | 0..* | ServiceRequest | A request for a service to address an SDOH condition, observation or goal. |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| pertainsToGoal | S | 0..* | Reference(Goal) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal" | |
| value[x] | S | 1..1 | Reference(SDOHCC Goal) | Value of extension |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | What request fulfills Slice: Unordered, Open by profile:resolve() |
| basedOn:SupportedBasedOn | SΣ | 0..* | Reference(SDOHCC ServiceRequest) | What request fulfills |
| status | ?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (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: RequestIntent (required): The kind of service request. |
| Slices for category | Σ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. |
| category:SDOH | SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
| priority | SΣ | 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: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. |
| Slices for orderDetail | ΣC | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by pattern:coding Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. |
| orderDetail:SubjectContactDetail | SΣC | 0..1 | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: contacting-subject-prohibited | |
| subject | SΣ | 1..1 | Reference(Group | US Core Patient Profile | US Core Location Profile) | Individual or Entity the service is ordered for |
| occurrence[x] | SΣ | 0..1 | When service should occur | |
| occurrenceDateTime | dateTime | |||
| occurrencePeriod | Period | |||
| occurrenceTiming | Timing | |||
| authoredOn | SΣ | 0..1 | dateTime | Date request signed |
| requester | SΣ | 0..1 | Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile) | Who/what is requesting service |
| performer | SΣ | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) | Requested performer |
| 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. |
| Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service Slice: Unordered, Open by profile:resolve() |
| reasonReference:SupportedReasonReference | SΣ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Explanation/Justification for service or service |
| Slices for supportingInfo | 0..* | Reference(Resource) | Additional clinical information Slice: Unordered, Open by profile:resolve() | |
| supportingInfo:SupportedSupportingInfo | S | 0..* | Reference(SDOHCC Consent) | Additional clinical information |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| ServiceRequest.status | required | RequestStatus |
| ServiceRequest.intent | required | RequestIntent |
| ServiceRequest.category | example | ServiceRequestCategoryCodes |
| ServiceRequest.category:SDOH | required | SDOHCCValueSetSDOHCategory |
| ServiceRequest.priority | required | RequestPriority |
| ServiceRequest.code | required | USCoreProcedureCodes |
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes |
| ServiceRequest.orderDetail:SubjectContactDetail | example | Pattern: contacting-subject-prohibited |
| ServiceRequest.reasonCode | example | ProcedureReasonCodes |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest | C | 0..* | ServiceRequest | A request for a service to address an SDOH condition, observation or goal. | ||||
| id | Σ | 0..1 | id | 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): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| pertainsToGoal | S | 0..* | Reference(Goal) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal" | |||||
| value[x] | S | 1..1 | Reference(SDOHCC Goal) | Value of extension | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 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 | ||||
| Slices for basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | What request fulfills Slice: Unordered, Open by profile:resolve() | ||||
| basedOn:SupportedBasedOn | SΣ | 0..* | Reference(SDOHCC ServiceRequest) | What request fulfills | ||||
| replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces | ||||
| requisition | Σ | 0..1 | Identifier | Composite Request ID | ||||
| status | ?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (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: RequestIntent (required): The kind of service request. | ||||
| Slices for category | Σ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||
| category:SDOH | SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. | ||||
| priority | SΣ | 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: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. | ||||
| Slices for orderDetail | ΣC | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by pattern:coding Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
| orderDetail:SubjectContactDetail | SΣC | 0..1 | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: contacting-subject-prohibited | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| quantity[x] | Σ | 0..1 | Service amount | |||||
| quantityQuantity | Quantity | |||||||
| quantityRatio | Ratio | |||||||
| quantityRange | Range | |||||||
| subject | SΣ | 1..1 | Reference(Group | US Core Patient Profile | US Core Location Profile) | Individual or Entity the service is ordered for | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created | ||||
| occurrence[x] | SΣ | 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(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile) | 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 | SΣ | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) | 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. | ||||
| Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service Slice: Unordered, Open by profile:resolve() | ||||
| reasonReference:SupportedReasonReference | SΣ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Explanation/Justification for service or service | ||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| Slices for supportingInfo | 0..* | Reference(Resource) | Additional clinical information Slice: Unordered, Open by profile:resolve() | |||||
| supportingInfo:SupportedSupportingInfo | S | 0..* | Reference(SDOHCC Consent) | Additional clinical information | ||||
| note | 0..* | Annotation | Comments | |||||
| patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
| relevantHistory | 0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| ServiceRequest.language | preferred | CommonLanguages
| ||||
| ServiceRequest.status | required | RequestStatus | ||||
| ServiceRequest.intent | required | RequestIntent | ||||
| ServiceRequest.category | example | ServiceRequestCategoryCodes | ||||
| ServiceRequest.category:SDOH | required | SDOHCCValueSetSDOHCategory | ||||
| ServiceRequest.priority | required | RequestPriority | ||||
| ServiceRequest.code | required | USCoreProcedureCodes | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes | ||||
| ServiceRequest.orderDetail:SubjectContactDetail | example | Pattern: contacting-subject-prohibited | ||||
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes | ||||
| ServiceRequest.performerType | example | ParticipantRoles | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleType | ||||
| ServiceRequest.reasonCode | example | ProcedureReasonCodes |
This structure is derived from ServiceRequest
Summary
Mandatory: 1 element
Must-Support: 16 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2021+ HL7 International Patient Care WG. Package hl7.fhir.us.sdoh-clinicalcare#2.1.0 based on FHIR 4.0.1. Generated 2023-07-27
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