Extensions for Using Data Elements from FHIR R4B in FHIR R5
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR R4B in FHIR R5 - Downloaded Version null See the Directory of published versions

Resource Profile: Profile_R4B_ServiceRequest_R5

Official URL: http://hl7.org/fhir/4.3/StructureDefinition/profile-ServiceRequest Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Computable Name: Profile_R4B_ServiceRequest_R5

This cross-version profile allows R4B ServiceRequest content to be represented via FHIR R5 ServiceRequest resources.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest(5.0.0) A request for a service to be performed
Constraints: bdystr-1, prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... intent ?!Σ 1..1 code proposal | plan | directive | order +
Binding: RequestIntent (required): The kind of service request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... subject Σ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📍5.0.0 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
bdystr-1 error ServiceRequest bodyStructure SHALL only be present if bodySite is not present bodySite.exists() implies bodyStructure.empty()
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error ServiceRequest.implicitRules, ServiceRequest.modifierExtension, ServiceRequest.status, ServiceRequest.intent, ServiceRequest.doNotPerform, ServiceRequest.subject All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error ServiceRequest.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequest(5.0.0) A request for a service to be performed
... reason
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:reasonReference 0..* Reference(Cross-version Profile for R4B.Observation for use in FHIR R5(0.1.0) | Observation | Cross-version Profile for R4B.DiagnosticReport for use in FHIR R5(0.1.0) | DiagnosticReport | Cross-version Profile for R4B.DocumentReference for use in FHIR R5(0.1.0) | DocumentReference) R4B: Explanation/Justification for service or service additional types
URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-ServiceRequest.reasonReference

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest(5.0.0) A request for a service to be performed
Constraints: bdystr-1, prr-1
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... 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
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!Σ 1..1 code proposal | plan | directive | order +
Binding: RequestIntent (required): The kind of service request.
... category Σ 0..* CodeableConcept Classification of service
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.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code ΣC 0..1 CodeableReference(ActivityDefinition | PlanDefinition) ​What is being requested/ordered
Binding: ProcedureCodesSNOMEDCT (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
... orderDetail ΣC 0..* BackboneElement Additional order information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... parameterFocus 0..1 CodeableReference(Device | DeviceDefinition | DeviceRequest | SupplyRequest | Medication | MedicationRequest | BiologicallyDerivedProduct | Substance) The context of the order details by reference
.... parameter Σ 1..* BackboneElement The parameter details for the service being requested
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code Σ 1..1 CodeableConcept The detail of the order being requested
Binding: ServiceRequestOrderDetailParameterCode (example): Codes for order detail parameters.
..... value[x] Σ 1..1 The value for the order detail
...... valueQuantity Quantity
...... valueRatio Ratio
...... valueRange Range
...... valueBoolean boolean
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valuePeriod Period
... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject Σ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
... focus Σ 0..* Reference(Resource) What the service request is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] Σ 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 Σ 0..1 dateTime Date request signed
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) 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 Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
... location Σ 0..* CodeableReference(Location) Requested location
Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
... reason Σ 0..* CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue) Explanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:reasonReference 0..* Reference(Cross-version Profile for R4B.Observation for use in FHIR R5(0.1.0) | Observation | Cross-version Profile for R4B.DiagnosticReport for use in FHIR R5(0.1.0) | DiagnosticReport | Cross-version Profile for R4B.DocumentReference for use in FHIR R5(0.1.0) | DocumentReference) R4B: Explanation/Justification for service or service additional types
URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-ServiceRequest.reasonReference
Constraints: ext-1
.... concept Σ 0..1 CodeableConcept Reference to a concept (by class)
.... reference Σ 0..1 Reference() Reference to a resource (by instance)
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* CodeableReference(Resource) Additional clinical information
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite ΣC 0..* CodeableConcept Coded location on Body
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... bodyStructure ΣC 0..1 Reference(BodyStructure) BodyStructure-based location on the body
... note 0..* Annotation Comments
... patientInstruction 0..* BackboneElement Patient or consumer-oriented instructions
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... instruction[x] Σ 0..1 Patient or consumer-oriented instructions
..... instructionMarkdown markdown
..... instructionReference Reference(DocumentReference)
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base required All Languages 📍5.0.0 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍5.0.0 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍5.0.0 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍5.0.0 FHIR Std.
ServiceRequest.priority Base required RequestPriority 📍5.0.0 FHIR Std.
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📍5.0.0 FHIR Std.
ServiceRequest.orderDetail.​parameter.code Base example Servicerequest OrderDetail Parameter Code 📍5.0.0 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍5.0.0 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍5.0.0 FHIR Std.
ServiceRequest.location Base example ServiceDeliveryLocationRoleType 📍3.0.0 THO v7.1
ServiceRequest.reason Base example Procedure Reason Codes 📍5.0.0 FHIR Std.
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
bdystr-1 error ServiceRequest bodyStructure SHALL only be present if bodySite is not present bodySite.exists() implies bodyStructure.empty()
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error ServiceRequest.meta, ServiceRequest.implicitRules, ServiceRequest.language, ServiceRequest.text, ServiceRequest.extension, ServiceRequest.modifierExtension, ServiceRequest.identifier, ServiceRequest.instantiatesCanonical, ServiceRequest.instantiatesUri, ServiceRequest.basedOn, ServiceRequest.replaces, ServiceRequest.requisition, ServiceRequest.status, ServiceRequest.intent, ServiceRequest.category, ServiceRequest.priority, ServiceRequest.doNotPerform, ServiceRequest.code, ServiceRequest.orderDetail, ServiceRequest.orderDetail.extension, ServiceRequest.orderDetail.modifierExtension, ServiceRequest.orderDetail.parameterFocus, ServiceRequest.orderDetail.parameter, ServiceRequest.orderDetail.parameter.extension, ServiceRequest.orderDetail.parameter.modifierExtension, ServiceRequest.orderDetail.parameter.code, ServiceRequest.orderDetail.parameter.value[x], ServiceRequest.quantity[x], ServiceRequest.subject, ServiceRequest.focus, ServiceRequest.encounter, ServiceRequest.occurrence[x], ServiceRequest.asNeeded[x], ServiceRequest.authoredOn, ServiceRequest.requester, ServiceRequest.performerType, ServiceRequest.performer, ServiceRequest.location, ServiceRequest.reason, ServiceRequest.reason.extension, ServiceRequest.reason.extension:reasonReference, ServiceRequest.reason.concept, ServiceRequest.reason.reference, ServiceRequest.insurance, ServiceRequest.supportingInfo, ServiceRequest.specimen, ServiceRequest.bodySite, ServiceRequest.bodyStructure, ServiceRequest.note, ServiceRequest.patientInstruction, ServiceRequest.patientInstruction.extension, ServiceRequest.patientInstruction.modifierExtension, ServiceRequest.patientInstruction.instruction[x], ServiceRequest.relevantHistory All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error ServiceRequest.extension, ServiceRequest.modifierExtension, ServiceRequest.orderDetail.extension, ServiceRequest.orderDetail.modifierExtension, ServiceRequest.orderDetail.parameter.extension, ServiceRequest.orderDetail.parameter.modifierExtension, ServiceRequest.reason.extension, ServiceRequest.reason.extension:reasonReference, ServiceRequest.patientInstruction.extension, ServiceRequest.patientInstruction.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

This structure is derived from ServiceRequest

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest(5.0.0) A request for a service to be performed
Constraints: bdystr-1, prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... intent ?!Σ 1..1 code proposal | plan | directive | order +
Binding: RequestIntent (required): The kind of service request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... subject Σ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📍5.0.0 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
bdystr-1 error ServiceRequest bodyStructure SHALL only be present if bodySite is not present bodySite.exists() implies bodyStructure.empty()
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error ServiceRequest.implicitRules, ServiceRequest.modifierExtension, ServiceRequest.status, ServiceRequest.intent, ServiceRequest.doNotPerform, ServiceRequest.subject All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error ServiceRequest.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

Differential View

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequest(5.0.0) A request for a service to be performed
... reason
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:reasonReference 0..* Reference(Cross-version Profile for R4B.Observation for use in FHIR R5(0.1.0) | Observation | Cross-version Profile for R4B.DiagnosticReport for use in FHIR R5(0.1.0) | DiagnosticReport | Cross-version Profile for R4B.DocumentReference for use in FHIR R5(0.1.0) | DocumentReference) R4B: Explanation/Justification for service or service additional types
URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-ServiceRequest.reasonReference

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest(5.0.0) A request for a service to be performed
Constraints: bdystr-1, prr-1
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... 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
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!Σ 1..1 code proposal | plan | directive | order +
Binding: RequestIntent (required): The kind of service request.
... category Σ 0..* CodeableConcept Classification of service
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.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code ΣC 0..1 CodeableReference(ActivityDefinition | PlanDefinition) ​What is being requested/ordered
Binding: ProcedureCodesSNOMEDCT (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
... orderDetail ΣC 0..* BackboneElement Additional order information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... parameterFocus 0..1 CodeableReference(Device | DeviceDefinition | DeviceRequest | SupplyRequest | Medication | MedicationRequest | BiologicallyDerivedProduct | Substance) The context of the order details by reference
.... parameter Σ 1..* BackboneElement The parameter details for the service being requested
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code Σ 1..1 CodeableConcept The detail of the order being requested
Binding: ServiceRequestOrderDetailParameterCode (example): Codes for order detail parameters.
..... value[x] Σ 1..1 The value for the order detail
...... valueQuantity Quantity
...... valueRatio Ratio
...... valueRange Range
...... valueBoolean boolean
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valuePeriod Period
... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject Σ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
... focus Σ 0..* Reference(Resource) What the service request is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] Σ 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 Σ 0..1 dateTime Date request signed
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) 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 Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
... location Σ 0..* CodeableReference(Location) Requested location
Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
... reason Σ 0..* CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue) Explanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:reasonReference 0..* Reference(Cross-version Profile for R4B.Observation for use in FHIR R5(0.1.0) | Observation | Cross-version Profile for R4B.DiagnosticReport for use in FHIR R5(0.1.0) | DiagnosticReport | Cross-version Profile for R4B.DocumentReference for use in FHIR R5(0.1.0) | DocumentReference) R4B: Explanation/Justification for service or service additional types
URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-ServiceRequest.reasonReference
Constraints: ext-1
.... concept Σ 0..1 CodeableConcept Reference to a concept (by class)
.... reference Σ 0..1 Reference() Reference to a resource (by instance)
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* CodeableReference(Resource) Additional clinical information
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite ΣC 0..* CodeableConcept Coded location on Body
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... bodyStructure ΣC 0..1 Reference(BodyStructure) BodyStructure-based location on the body
... note 0..* Annotation Comments
... patientInstruction 0..* BackboneElement Patient or consumer-oriented instructions
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... instruction[x] Σ 0..1 Patient or consumer-oriented instructions
..... instructionMarkdown markdown
..... instructionReference Reference(DocumentReference)
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base required All Languages 📍5.0.0 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍5.0.0 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍5.0.0 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍5.0.0 FHIR Std.
ServiceRequest.priority Base required RequestPriority 📍5.0.0 FHIR Std.
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📍5.0.0 FHIR Std.
ServiceRequest.orderDetail.​parameter.code Base example Servicerequest OrderDetail Parameter Code 📍5.0.0 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍5.0.0 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍5.0.0 FHIR Std.
ServiceRequest.location Base example ServiceDeliveryLocationRoleType 📍3.0.0 THO v7.1
ServiceRequest.reason Base example Procedure Reason Codes 📍5.0.0 FHIR Std.
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
bdystr-1 error ServiceRequest bodyStructure SHALL only be present if bodySite is not present bodySite.exists() implies bodyStructure.empty()
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error ServiceRequest.meta, ServiceRequest.implicitRules, ServiceRequest.language, ServiceRequest.text, ServiceRequest.extension, ServiceRequest.modifierExtension, ServiceRequest.identifier, ServiceRequest.instantiatesCanonical, ServiceRequest.instantiatesUri, ServiceRequest.basedOn, ServiceRequest.replaces, ServiceRequest.requisition, ServiceRequest.status, ServiceRequest.intent, ServiceRequest.category, ServiceRequest.priority, ServiceRequest.doNotPerform, ServiceRequest.code, ServiceRequest.orderDetail, ServiceRequest.orderDetail.extension, ServiceRequest.orderDetail.modifierExtension, ServiceRequest.orderDetail.parameterFocus, ServiceRequest.orderDetail.parameter, ServiceRequest.orderDetail.parameter.extension, ServiceRequest.orderDetail.parameter.modifierExtension, ServiceRequest.orderDetail.parameter.code, ServiceRequest.orderDetail.parameter.value[x], ServiceRequest.quantity[x], ServiceRequest.subject, ServiceRequest.focus, ServiceRequest.encounter, ServiceRequest.occurrence[x], ServiceRequest.asNeeded[x], ServiceRequest.authoredOn, ServiceRequest.requester, ServiceRequest.performerType, ServiceRequest.performer, ServiceRequest.location, ServiceRequest.reason, ServiceRequest.reason.extension, ServiceRequest.reason.extension:reasonReference, ServiceRequest.reason.concept, ServiceRequest.reason.reference, ServiceRequest.insurance, ServiceRequest.supportingInfo, ServiceRequest.specimen, ServiceRequest.bodySite, ServiceRequest.bodyStructure, ServiceRequest.note, ServiceRequest.patientInstruction, ServiceRequest.patientInstruction.extension, ServiceRequest.patientInstruction.modifierExtension, ServiceRequest.patientInstruction.instruction[x], ServiceRequest.relevantHistory All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error ServiceRequest.extension, ServiceRequest.modifierExtension, ServiceRequest.orderDetail.extension, ServiceRequest.orderDetail.modifierExtension, ServiceRequest.orderDetail.parameter.extension, ServiceRequest.orderDetail.parameter.modifierExtension, ServiceRequest.reason.extension, ServiceRequest.reason.extension:reasonReference, ServiceRequest.patientInstruction.extension, ServiceRequest.patientInstruction.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

This structure is derived from ServiceRequest

Summary

Extensions

This structure refers to these extensions:

Maturity: 0

 

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