| Left: | US Core ServiceRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest) |
| Right: | SDOHCC ServiceRequest (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest) |
| Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest' vs 'http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest' |
| Error | StructureDefinition.version | Values for version differ: '6.0.0-ballot' vs '2.0.0' |
| Information | StructureDefinition.name | Values for name differ: 'USCoreServiceRequestProfile' vs 'SDOHCCServiceRequest' |
| Information | StructureDefinition.title | Values for title differ: 'US Core ServiceRequest Profile' vs 'SDOHCC ServiceRequest' |
| Information | StructureDefinition.status | Values for status differ: 'active' vs 'draft' |
| Information | StructureDefinition.date | Values for date differ: '2022-10-07' vs '2020-12-14T04:01:34+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 short: 'A request for a service to be performed' vs 'A request for a service to address an SDOH condition, observation or goal.' |
| Warning | ServiceRequest | Elements differ in definition: '\-' vs 'For service requests that address SDOH conditions, observations or goals.' |
| Warning | ServiceRequest | Elements differ in comments: '\-' vs 'Many of the SDOHCC profiles reference one another. One flow supported by this IG is that QuestionnaireResponses result in Observations that can be used as evidence for Conditions that can lead to Goals, ServiceRequests and Procedures. However, alternatives paths are also possible.' |
| 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.status | Elements differ in comments: '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] for general discussion) or using the [Task] 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] for general discussion) or using the [Task] resource. While all values are currently allowed, there may be a constraint on the values in future releases based on implementation feedback.' |
| 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. While all values are currently allowed, there may be a contraint on the values in future releases based on implementation feedback.' |
| Warning | ServiceRequest.category | Elements differ in definition: 'A code that classifies the service for searching, sorting and display purposes (e.g. 'Surgical Procedure').' vs 'A code that classifies the service for searching, sorting and display purposes (e.g., Education).' |
| Warning | ServiceRequest.category | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | ServiceRequest.category | Element minimum cardinalities differ: '1' vs '0' |
| Warning | ServiceRequest.priority | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | ServiceRequest.code | Elements differ in short: 'What is being requested/ordered' vs 'What is being requested/ordered.' |
| Warning | ServiceRequest.code | Elements differ in definition: 'A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested.' vs 'A code that identifies a particular service (e.g., procedure) that has been requested.' |
| Warning | ServiceRequest.code | Elements differ in comments: '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 'As the Gravity Project continues to refine content for the SDOH categories (e.g., food, housing, transportation, etc.), this value set will be refined to codes that pertain to SDOH categories. For further guidance on external value sets vetted by the Gravity Project see: [SDOH terminology guidance]' |
| Error | ServiceRequest.subject | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-location]]) |
| Error | ServiceRequest.requester | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization]]) |
| 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/StructureDefinition/HealthcareService], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], 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/core/StructureDefinition/us-core-careteam]]) |
| Warning | ServiceRequest.reasonCode | Elements differ in comments: '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].' 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]. Information represented by ServiceRequest.reasonCode may overlap significantly with information represented by ServiceRequest.reasonReference. Multiple approaches to representing the same information may negatively impact interoperability. Therefore, where similar information could be provided by either ServiceRequest.reasonCode or ServiceRequest.reasonReference, it is recommended that ServiceRequest.reasonReference be used to provide a reason for why a service request was made. As the Gravity Project continues to refine content for the SDOH categories (e.g., food, housing, transportation, etc.), this value set may be refined to codes that pertain to SDOH categories.' |
| Warning | ServiceRequest.reasonCode | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | ServiceRequest.reasonReference | Elements differ in comments: '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].' 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. Additionally, see Comment on reasonCode.' |
| Warning | ServiceRequest.reasonReference | Elements differ in definition for mustSupport: 'true' vs 'false' |
| 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 'Additional clinical information about the patient that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations.' |
| Information | ServiceRequest.specimen | Element maximum cardinalities differ: '2147483647' vs '0' |
| Information | ServiceRequest.bodySite | 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 | 2020-12-14T04:01:34+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 | Profile for service requests that address Social Determinants of Health. |
|
| experimental | |||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCoreServiceRequestProfile | SDOHCCServiceRequest |
|
| publisher | HL7 International - Cross-Group Projects | HL7 International - Patient Care WG |
|
| purpose | |||
| status | active | draft |
|
| title | US Core ServiceRequest Profile | SDOHCC ServiceRequest |
|
| type | ServiceRequest | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest | http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest |
|
| version | 6.0.0-ballot | 2.0.0 |
|
| 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 address an SDOH condition, observation or goal. |
| ||||||||
 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: CommonLanguages (preferred): A human 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 | 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 | ServiceRequest) | What request fulfills Slice: Unordered, Open by profile:resolve() | |||||||||
| 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: RequestStatus (required): The status of a service order. | ?!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. | ?!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 | SΣ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | Σ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this 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. | 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 | ?!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 (extensible) | 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. |
| ||||||||
| orderDetail | ΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | 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. | |||||||||
| 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(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 | 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, Timing | When service should occur | |||||||||
| asNeeded[x] | Σ | 0..1 | boolean, CodeableConcept | 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. | Σ | 0..1 | boolean, CodeableConcept | 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. | |||||||||
| 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(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. | 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 | 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. | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | |||||||||
| locationReference | Σ | 0..* | Reference(Location) | Requested location | Σ | 0..* | Reference(Location) | Requested location | |||||||||
| reasonCode | SΣ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: US Core Condition Code (extensible) | 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 | SΣ | 0..* | Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile | Observation | US Core DiagnosticReport Profile for Laboratory Results Reporting | US Core DiagnosticReport Profile for Report and Note exchange | US Core DocumentReference 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) | Additional clinical information Slice: Unordered, Open by profile:resolve() |
| ||||||||||
| specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples | Σ | 0..0 |
| ||||||||||
| bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | Σ | 0..0 |
| ||||||||||
| 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 | |||||||||||||||||