SDOH Clinical Care
3.0.0-ballot - STU 3 Ballot

SDOH Clinical Care - Downloaded Version 3.0.0-ballot See the Directory of published versions

## Resource Profile: SDOHCC ServiceRequest

Official URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest | Version: 3.0.0-ballot
Standards status: Trial-use Active as of 2025-12-13 | Maturity Level: 2 | Computable Name: SDOHCCServiceRequest

Profile for service requests that address Social Determinants of Health.

### Purpose

SDOHCC ServiceRequest is generally intended to represent a service request to address an identified social risk or need (e.g., 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 (e.g., 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.

### Usage

`ServiceRequest.code` has a binding to US Core Procedure Codes (required). `ServiceRequest.code` also has additional bindings to SDOH domain-specific value sets (e.g., for Food Insecurity) which are determined by the value selected for `ServiceRequest.category`. When `ServiceRequest.category` is a value from SDOHCC ValueSet SDOH Category (e.g., food-insecurity), `ServiceRequest.code` SHALL be selected from the corresponding domain-specific value set found in Additional Bindings (i.e. Food Insecurity ServiceRequests). If more than one value is selected from SDOHCC ValueSet SDOH Category (e.g., food-insecurity and financial-insecurity) for `ServiceRequest.category`, then `ServiceRequest.code` SHALL be selected from at least one of the corresponding domain-specific value sets found in Additional Bindings (e.g. Food Insecurity ServiceRequests).

Of note, Gravity Project is continuously developing terminology for new SDOH domains. Sometimes, a new SDOH domain may already be represented by a category code in SDOHCC ValueSet SDOH Category, but a domain-specific value set may not yet be available in VSAC. In this case, the Additional Binding for the new SDOH domain/category is the default binding for the profile element. Additionally, sometimes a domain-specific value set for a new domain is available in VSAC but does not yet include all standardized codes identified during the domain’s terminology development cycle. In this case, the value set’s “Description” tab in VSAC will state, “In progress”. Additional information related to Gravity value sets is provided on the Social Risk Terminology Value Sets page on the Gravity Project Confluence site.

Additionally, some SDOH domains may not yet be represented in SDOHCC ValueSet SDOH Category. In this case, `ServiceRequest.category`: sdoh-category-unspecified can be used so that the Service Request instance can still be categorized as SDOH-related. If desired, `ServiceRequest.category.text` can also be used to further specify the domain. For example, at the time of publication of this IG, “disability-status” is not yet included in SDOHCC ValueSet SDOH Category. In this case, `ServiceRequest.category`: sdoh-category-unspecified can be used along with `ServiceRequest.category.text`: Disability Status. For `ServiceRequest.category`: sdoh-category-unspecified, there will not be domain-specific value sets and Additional Bindings for `ServiceRequest.code` will designate the default binding to US Core Procedure Codes (required).

To support the content rich referral use case, a clinical provider may include relevant clinical information about the patient with the referral to support the patient’s social care needs. For example, a provider may share a gestational diabetes diagnosis (SDOHCC Condition resource), supporting glucose challenge test results (Lab Observation resource) and oral glucose tolerance test results (Lab Observation resource) to aid in establishing eligibility for a WIC (Women, Infants, and Children) food program. This additional information SHOULD be referenced using the `ServiceRequest.supportingInfo` element.

For more information on the correlation between `ServiceRequest.category` and the domain-specific value sets in Additional Bindings for `ServiceRequest.code`, see Gravity Project Value Sets.

Usages:

- Refer to this Profile: SDOHCC Procedure, SDOHCC ServiceRequest and SDOHCC Task For Referral Management
- Examples for this Profile: ServiceRequest/SDOHCC-ServiceRequestActiveFoodPantryApplicationAssistExample, ServiceRequest/SDOHCC-ServiceRequestActiveWICReferralExample, ServiceRequest/SDOHCC-ServiceRequestSubreferralGardenProgramExample and ServiceRequest/SDOHCC-ServiceRequestSubreferralSummerFoodProgramExample
- CapabilityStatements using this Profile: SDOHCC Coordination Platform, SDOHCC Patient Application, SDOHCC Referral Recipient, SDOHCC Referral Recipient - Light and SDOHCC Referral Source

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | USCoreServiceRequestProfile(7.0.0) | A request for a service to address an SDOH condition, observation or goal. Constraints: prr-1
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
extension:pertainsToGoal | S | 0..* | (Complex) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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 | S Σ | 0..* | Reference(SDOHCC ServiceRequest) | What request fulfills
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 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 | S Σ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:us-core | S Σ | 0..* | CodeableConcept | Classification of service Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
category:SDOHCC | S Σ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
priority | S 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 | S Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: USCoreProcedureCodes (7.0.0) (required)
Additional Bindings | Purpose | Usage
DigitalAccessServiceRequests (20240615) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-access
DigitalLiteracyServiceRequests (20240615) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-literacy
LessThanHighSchoolEducationServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = educational-attainment
ElderAbuseServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = elder-abuse
UnemploymentServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = employment-status
FinancialInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = financial-insecurity
FoodInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = food-insecurity
HealthInsuranceCoverageStatusServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = health-insurance-coverage-status
HomelessnessServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = homelessness
HousingInstabilityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = housing-instability
InadequateHousingServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = inadequate-housing
Incarceration Status Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = incarceration-status
IntimatePartnerViolenceServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = intimate-partner-violence
Language Access Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = language-access
MaterialHardshipServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = material-hardship
MedicalCostBurdenServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = medical-cost-burden
HealthLiteracyServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = personal-health-literacy
SocialConnectionServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = social-connection
StressServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = stress
TransportationInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = transportation-insecurity
UtilityInsecurityServiceRequests (20240524) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = utility-insecurity
VeteranStatusServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = veteran-status
USCoreProcedureCodes (7.0.0) | Required | SDOHCCServiceRequest#`ServiceRequest.category` = sdoh-category-unspecified
Slices for orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by value:coding Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
orderDetail:SubjectContactDetail | S Σ C | 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
subject | S Σ | 1..1 | Reference(Group | US Core Patient Profile(7.0.0) | US Core Location Profile(7.0.0)) | Individual or Entity the service is ordered for
encounter | S Σ | 0..1 | Reference(US Core Encounter Profile(7.0.0)) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrencePeriod |  |  | Period S |
occurrenceDateTime |  |  | dateTime S |
occurrenceTiming |  |  | Timing |
authoredOn | S Σ | 0..1 | dateTime | Date request signed
requester | S Σ | 0..1 | Reference(US Core RelatedPerson Profile(7.0.0) | Device | SDOHCC PractitionerRole | US Core Practitioner Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core Organization Profile(7.0.0)) | Who/what is requesting service
performer | S Σ | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile(7.0.0) | US Core Practitioner Profile(7.0.0) | SDOHCC PractitionerRole | US Core Organization Profile(7.0.0) | US Core CareTeam Profile(7.0.0)) | Requested performer
reasonCode | Σ | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: USCoreConditionCodes (7.0.0) (extensible)
Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference | S Σ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested 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

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | Service Request Category Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.category:us-core | Base | required | US Core ServiceRequest Category Codes | 📍7.0.0 | US Core v7.0
ServiceRequest.category:SDOHCC | Base | required | SDOHCC ValueSet SDOH Category | 📦3.0.0-ballot | This IG
ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | required | US Core Procedure Codes | 📍7.0.0 | US Core v7.0
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.orderDetail:SubjectContactDetail | Base | example | Service Request Order Details Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.reasonCode | Base | extensible | US Core Condition Codes | 📍7.0.0 | US Core v7.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | 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()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | USCoreServiceRequestProfile(7.0.0) | 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
extension:pertainsToGoal | S | 0..* | (Complex) | 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 |  | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent |  | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
category |  | 0..* | CodeableConcept | Classification of service
Slices for category |  |  |  | Content/Rules for all slices
category:SDOHCC | 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 |  | 1..1 | CodeableConcept | What is being requested/ordered Binding: USCoreProcedureCodes (7.0.0) (required)
Additional Bindings | Purpose | Usage
DigitalAccessServiceRequests (20240615) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-access
DigitalLiteracyServiceRequests (20240615) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-literacy
LessThanHighSchoolEducationServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = educational-attainment
ElderAbuseServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = elder-abuse
UnemploymentServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = employment-status
FinancialInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = financial-insecurity
FoodInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = food-insecurity
HealthInsuranceCoverageStatusServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = health-insurance-coverage-status
HomelessnessServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = homelessness
HousingInstabilityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = housing-instability
InadequateHousingServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = inadequate-housing
Incarceration Status Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = incarceration-status
IntimatePartnerViolenceServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = intimate-partner-violence
Language Access Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = language-access
MaterialHardshipServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = material-hardship
MedicalCostBurdenServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = medical-cost-burden
HealthLiteracyServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = personal-health-literacy
SocialConnectionServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = social-connection
StressServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = stress
TransportationInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = transportation-insecurity
UtilityInsecurityServiceRequests (20240524) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = utility-insecurity
VeteranStatusServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = veteran-status
USCoreProcedureCodes (7.0.0) | Required | SDOHCCServiceRequest#`ServiceRequest.category` = sdoh-category-unspecified
Slices for orderDetail |  | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by value: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 |  | 1..1 | Reference(Group | US Core Patient Profile(7.0.0) | US Core Location Profile(7.0.0)) | Individual or Entity the service is ordered for
occurrence[x] |  | 0..1 |  | When service should occur
occurrencePeriod |  |  | Period |
occurrenceDateTime |  |  | dateTime |
occurrenceTiming |  |  | Timing |
requester |  | 0..1 | Reference(US Core RelatedPerson Profile(7.0.0) | Device | SDOHCC PractitionerRole | US Core Practitioner Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core Organization Profile(7.0.0)) | Who/what is requesting service
performer | S | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile(7.0.0) | US Core Practitioner Profile(7.0.0) | SDOHCC PractitionerRole | US Core Organization Profile(7.0.0) | US Core CareTeam Profile(7.0.0)) | Requested performer
reasonCode |  | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service
Slices for reasonReference |  | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested 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 |  | Procedure Samples
bodySite |  | 0..0 |  | Location on Body
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.category:SDOHCC | Base | required | SDOHCC ValueSet SDOH Category | 📦3.0.0-ballot | This IG
ServiceRequest.code | Base | required | US Core Procedure Codes | 📍7.0.0 | US Core v7.0

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | USCoreServiceRequestProfile(7.0.0) | A request for a service to address an SDOH condition, observation or goal. Constraints: 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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:pertainsToGoal | S | 0..* | (Complex) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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 | S Σ | 0..* | Reference(SDOHCC ServiceRequest) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 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 | S Σ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:us-core | S Σ | 0..* | CodeableConcept | Classification of service Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
category:SDOHCC | S Σ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
priority | S 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 | S Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: USCoreProcedureCodes (7.0.0) (required)
Additional Bindings | Purpose | Usage
DigitalAccessServiceRequests (20240615) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-access
DigitalLiteracyServiceRequests (20240615) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-literacy
LessThanHighSchoolEducationServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = educational-attainment
ElderAbuseServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = elder-abuse
UnemploymentServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = employment-status
FinancialInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = financial-insecurity
FoodInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = food-insecurity
HealthInsuranceCoverageStatusServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = health-insurance-coverage-status
HomelessnessServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = homelessness
HousingInstabilityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = housing-instability
InadequateHousingServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = inadequate-housing
Incarceration Status Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = incarceration-status
IntimatePartnerViolenceServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = intimate-partner-violence
Language Access Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = language-access
MaterialHardshipServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = material-hardship
MedicalCostBurdenServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = medical-cost-burden
HealthLiteracyServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = personal-health-literacy
SocialConnectionServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = social-connection
StressServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = stress
TransportationInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = transportation-insecurity
UtilityInsecurityServiceRequests (20240524) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = utility-insecurity
VeteranStatusServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = veteran-status
USCoreProcedureCodes (7.0.0) | Required | SDOHCCServiceRequest#`ServiceRequest.category` = sdoh-category-unspecified
Slices for orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by value:coding Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
orderDetail:SubjectContactDetail | S Σ C | 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 | S Σ | 1..1 | Reference(Group | US Core Patient Profile(7.0.0) | US Core Location Profile(7.0.0)) | Individual or Entity the service is ordered for
encounter | S Σ | 0..1 | Reference(US Core Encounter Profile(7.0.0)) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrencePeriod |  |  | Period S |
occurrenceDateTime |  |  | dateTime S |
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 | S Σ | 0..1 | dateTime | Date request signed
requester | S Σ | 0..1 | Reference(US Core RelatedPerson Profile(7.0.0) | Device | SDOHCC PractitionerRole | US Core Practitioner Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core Organization Profile(7.0.0)) | 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 | S Σ | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile(7.0.0) | US Core Practitioner Profile(7.0.0) | SDOHCC PractitionerRole | US Core Organization Profile(7.0.0) | US Core CareTeam Profile(7.0.0)) | Requested performer
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | Σ | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: USCoreConditionCodes (7.0.0) (extensible)
Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference | S Σ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested 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

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | Service Request Category Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.category:us-core | Base | required | US Core ServiceRequest Category Codes | 📍7.0.0 | US Core v7.0
ServiceRequest.category:SDOHCC | Base | required | SDOHCC ValueSet SDOH Category | 📦3.0.0-ballot | This IG
ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | required | US Core Procedure Codes | 📍7.0.0 | US Core v7.0
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.orderDetail:SubjectContactDetail | Base | example | Service Request Order Details Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.performerType | Base | example | Participant Roles | 📦4.0.1 | FHIR Std.
ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.0
ServiceRequest.reasonCode | Base | extensible | US Core Condition Codes | 📍7.0.0 | US Core v7.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | 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()`

Summary

Must-Support: 9 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

- SDOHCC Goal (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Goal)
- SDOHCC ServiceRequest (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest)
- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0)
- US Core Location Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-location|7.0.0)
- US Core RelatedPerson Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson|7.0.0)
- SDOHCC PractitionerRole (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-practitionerrole)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|7.0.0)
- US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|7.0.0)
- US Core CareTeam Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam|7.0.0)
- SDOHCC Condition (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition)
- SDOHCC Observation Screening Response (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse)
- SDOHCC Observation Assessment (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationAssessment)
- SDOHCC Consent (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Consent)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal|5.2.0

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of ServiceRequest.basedOn
- The element 1 is sliced based on the value of ServiceRequest.orderDetail
- The element 1 is sliced based on the value of ServiceRequest.reasonReference
- The element 1 is sliced based on the value of ServiceRequest.supportingInfo

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | USCoreServiceRequestProfile(7.0.0) | A request for a service to address an SDOH condition, observation or goal. Constraints: prr-1
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
extension:pertainsToGoal | S | 0..* | (Complex) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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 | S Σ | 0..* | Reference(SDOHCC ServiceRequest) | What request fulfills
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 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 | S Σ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:us-core | S Σ | 0..* | CodeableConcept | Classification of service Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
category:SDOHCC | S Σ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
priority | S 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 | S Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: USCoreProcedureCodes (7.0.0) (required)
Additional Bindings | Purpose | Usage
DigitalAccessServiceRequests (20240615) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-access
DigitalLiteracyServiceRequests (20240615) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-literacy
LessThanHighSchoolEducationServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = educational-attainment
ElderAbuseServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = elder-abuse
UnemploymentServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = employment-status
FinancialInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = financial-insecurity
FoodInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = food-insecurity
HealthInsuranceCoverageStatusServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = health-insurance-coverage-status
HomelessnessServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = homelessness
HousingInstabilityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = housing-instability
InadequateHousingServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = inadequate-housing
Incarceration Status Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = incarceration-status
IntimatePartnerViolenceServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = intimate-partner-violence
Language Access Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = language-access
MaterialHardshipServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = material-hardship
MedicalCostBurdenServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = medical-cost-burden
HealthLiteracyServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = personal-health-literacy
SocialConnectionServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = social-connection
StressServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = stress
TransportationInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = transportation-insecurity
UtilityInsecurityServiceRequests (20240524) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = utility-insecurity
VeteranStatusServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = veteran-status
USCoreProcedureCodes (7.0.0) | Required | SDOHCCServiceRequest#`ServiceRequest.category` = sdoh-category-unspecified
Slices for orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by value:coding Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
orderDetail:SubjectContactDetail | S Σ C | 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
subject | S Σ | 1..1 | Reference(Group | US Core Patient Profile(7.0.0) | US Core Location Profile(7.0.0)) | Individual or Entity the service is ordered for
encounter | S Σ | 0..1 | Reference(US Core Encounter Profile(7.0.0)) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrencePeriod |  |  | Period S |
occurrenceDateTime |  |  | dateTime S |
occurrenceTiming |  |  | Timing |
authoredOn | S Σ | 0..1 | dateTime | Date request signed
requester | S Σ | 0..1 | Reference(US Core RelatedPerson Profile(7.0.0) | Device | SDOHCC PractitionerRole | US Core Practitioner Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core Organization Profile(7.0.0)) | Who/what is requesting service
performer | S Σ | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile(7.0.0) | US Core Practitioner Profile(7.0.0) | SDOHCC PractitionerRole | US Core Organization Profile(7.0.0) | US Core CareTeam Profile(7.0.0)) | Requested performer
reasonCode | Σ | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: USCoreConditionCodes (7.0.0) (extensible)
Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference | S Σ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested 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

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | Service Request Category Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.category:us-core | Base | required | US Core ServiceRequest Category Codes | 📍7.0.0 | US Core v7.0
ServiceRequest.category:SDOHCC | Base | required | SDOHCC ValueSet SDOH Category | 📦3.0.0-ballot | This IG
ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | required | US Core Procedure Codes | 📍7.0.0 | US Core v7.0
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.orderDetail:SubjectContactDetail | Base | example | Service Request Order Details Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.reasonCode | Base | extensible | US Core Condition Codes | 📍7.0.0 | US Core v7.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | 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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | USCoreServiceRequestProfile(7.0.0) | 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
extension:pertainsToGoal | S | 0..* | (Complex) | 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 |  | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent |  | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
category |  | 0..* | CodeableConcept | Classification of service
Slices for category |  |  |  | Content/Rules for all slices
category:SDOHCC | 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 |  | 1..1 | CodeableConcept | What is being requested/ordered Binding: USCoreProcedureCodes (7.0.0) (required)
Additional Bindings | Purpose | Usage
DigitalAccessServiceRequests (20240615) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-access
DigitalLiteracyServiceRequests (20240615) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-literacy
LessThanHighSchoolEducationServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = educational-attainment
ElderAbuseServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = elder-abuse
UnemploymentServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = employment-status
FinancialInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = financial-insecurity
FoodInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = food-insecurity
HealthInsuranceCoverageStatusServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = health-insurance-coverage-status
HomelessnessServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = homelessness
HousingInstabilityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = housing-instability
InadequateHousingServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = inadequate-housing
Incarceration Status Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = incarceration-status
IntimatePartnerViolenceServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = intimate-partner-violence
Language Access Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = language-access
MaterialHardshipServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = material-hardship
MedicalCostBurdenServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = medical-cost-burden
HealthLiteracyServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = personal-health-literacy
SocialConnectionServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = social-connection
StressServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = stress
TransportationInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = transportation-insecurity
UtilityInsecurityServiceRequests (20240524) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = utility-insecurity
VeteranStatusServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = veteran-status
USCoreProcedureCodes (7.0.0) | Required | SDOHCCServiceRequest#`ServiceRequest.category` = sdoh-category-unspecified
Slices for orderDetail |  | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by value: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 |  | 1..1 | Reference(Group | US Core Patient Profile(7.0.0) | US Core Location Profile(7.0.0)) | Individual or Entity the service is ordered for
occurrence[x] |  | 0..1 |  | When service should occur
occurrencePeriod |  |  | Period |
occurrenceDateTime |  |  | dateTime |
occurrenceTiming |  |  | Timing |
requester |  | 0..1 | Reference(US Core RelatedPerson Profile(7.0.0) | Device | SDOHCC PractitionerRole | US Core Practitioner Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core Organization Profile(7.0.0)) | Who/what is requesting service
performer | S | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile(7.0.0) | US Core Practitioner Profile(7.0.0) | SDOHCC PractitionerRole | US Core Organization Profile(7.0.0) | US Core CareTeam Profile(7.0.0)) | Requested performer
reasonCode |  | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service
Slices for reasonReference |  | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested 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 |  | Procedure Samples
bodySite |  | 0..0 |  | Location on Body
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.category:SDOHCC | Base | required | SDOHCC ValueSet SDOH Category | 📦3.0.0-ballot | This IG
ServiceRequest.code | Base | required | US Core Procedure Codes | 📍7.0.0 | US Core v7.0

Snapshot ViewView

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | USCoreServiceRequestProfile(7.0.0) | A request for a service to address an SDOH condition, observation or goal. Constraints: 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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:pertainsToGoal | S | 0..* | (Complex) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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 | S Σ | 0..* | Reference(SDOHCC ServiceRequest) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 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 | S Σ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:us-core | S Σ | 0..* | CodeableConcept | Classification of service Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
category:SDOHCC | S Σ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
priority | S 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 | S Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: USCoreProcedureCodes (7.0.0) (required)
Additional Bindings | Purpose | Usage
DigitalAccessServiceRequests (20240615) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-access
DigitalLiteracyServiceRequests (20240615) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-literacy
LessThanHighSchoolEducationServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = educational-attainment
ElderAbuseServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = elder-abuse
UnemploymentServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = employment-status
FinancialInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = financial-insecurity
FoodInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = food-insecurity
HealthInsuranceCoverageStatusServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = health-insurance-coverage-status
HomelessnessServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = homelessness
HousingInstabilityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = housing-instability
InadequateHousingServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = inadequate-housing
Incarceration Status Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = incarceration-status
IntimatePartnerViolenceServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = intimate-partner-violence
Language Access Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = language-access
MaterialHardshipServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = material-hardship
MedicalCostBurdenServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = medical-cost-burden
HealthLiteracyServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = personal-health-literacy
SocialConnectionServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = social-connection
StressServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = stress
TransportationInsecurityServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = transportation-insecurity
UtilityInsecurityServiceRequests (20240524) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = utility-insecurity
VeteranStatusServiceRequests (20240604) | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = veteran-status
USCoreProcedureCodes (7.0.0) | Required | SDOHCCServiceRequest#`ServiceRequest.category` = sdoh-category-unspecified
Slices for orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by value:coding Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
orderDetail:SubjectContactDetail | S Σ C | 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 | S Σ | 1..1 | Reference(Group | US Core Patient Profile(7.0.0) | US Core Location Profile(7.0.0)) | Individual or Entity the service is ordered for
encounter | S Σ | 0..1 | Reference(US Core Encounter Profile(7.0.0)) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrencePeriod |  |  | Period S |
occurrenceDateTime |  |  | dateTime S |
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 | S Σ | 0..1 | dateTime | Date request signed
requester | S Σ | 0..1 | Reference(US Core RelatedPerson Profile(7.0.0) | Device | SDOHCC PractitionerRole | US Core Practitioner Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core Organization Profile(7.0.0)) | 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 | S Σ | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile(7.0.0) | US Core Practitioner Profile(7.0.0) | SDOHCC PractitionerRole | US Core Organization Profile(7.0.0) | US Core CareTeam Profile(7.0.0)) | Requested performer
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | Σ | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: USCoreConditionCodes (7.0.0) (extensible)
Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference | S Σ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested 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

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | Service Request Category Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.category:us-core | Base | required | US Core ServiceRequest Category Codes | 📍7.0.0 | US Core v7.0
ServiceRequest.category:SDOHCC | Base | required | SDOHCC ValueSet SDOH Category | 📦3.0.0-ballot | This IG
ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | required | US Core Procedure Codes | 📍7.0.0 | US Core v7.0
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.orderDetail:SubjectContactDetail | Base | example | Service Request Order Details Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.performerType | Base | example | Participant Roles | 📦4.0.1 | FHIR Std.
ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.0
ServiceRequest.reasonCode | Base | extensible | US Core Condition Codes | 📍7.0.0 | US Core v7.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | 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()`

Summary

Must-Support: 9 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

- SDOHCC Goal (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Goal)
- SDOHCC ServiceRequest (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest)
- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0)
- US Core Location Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-location|7.0.0)
- US Core RelatedPerson Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson|7.0.0)
- SDOHCC PractitionerRole (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-practitionerrole)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|7.0.0)
- US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|7.0.0)
- US Core CareTeam Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam|7.0.0)
- SDOHCC Condition (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition)
- SDOHCC Observation Screening Response (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse)
- SDOHCC Observation Assessment (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationAssessment)
- SDOHCC Consent (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Consent)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal|5.2.0

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of ServiceRequest.basedOn
- The element 1 is sliced based on the value of ServiceRequest.orderDetail
- The element 1 is sliced based on the value of ServiceRequest.reasonReference
- The element 1 is sliced based on the value of ServiceRequest.supportingInfo

Maturity: 2

Other representations of profile: CSV, Excel, Schematron