SDOH Clinical Care
2.1.0 - STU 2.1 United States of America flag

This page is part of the SDOH Clinical Care for Multiple Domains (v2.1.0: STU 2.1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: SDOHCC ServiceRequest

Official URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest Version: 2.1.0
Draft as of 2023-07-27 Computable Name: SDOHCCServiceRequest

Profile for service requests that address Social Determinants of Health.

Purpose

SDOHCC ServiceRequest is generally intended to represent a service request to address an identified social risk or need (i.e., SDOHCC Condition, SDOHCC Observation Screening Response, SDOHCC Observation Assessment). An SDOHCC ServiceRequest can pertain to an SDOHCC Goal, and can reference the patient’s consent for the referral (i.e., SDOHCC Consent). An SDOHCC ServiceRequest can be the focus of an SDOHCC Task For Referral Management and an SDOHCC Procedure can be an based on an SDOHCC ServiceRequest. See the Data Modeling Framework for more detail on the relationships between SDOHCC ServiceRequest and the other profiles in this IG.

Usage

Rather than offer a separate ServiceRequest profile for each SDOH category (also called domain – e.g., food insecurity, transportation insecurity), this profile can support any SDOH category. For ServiceRequest.code, the minimum value set bindings are specified in the profile. Additionally, based on the code selected for the optional ServiceRequest.category slice, the Table below provides the Gravity-vetted, preferred value sets for ServiceRequest.code. Where a preferred value set contains a code to describe a needed concept, servers SHOULD use that code.

The preferred value sets in the Table are hosted in the NIH Value Set Authority Center (VSAC). The Social Determinants of Health Service Requests Value Set in VSAC is a grouper value set containing all members of the VSAC Value Sets below. The Gravity Project plans to continue to work with the HL7 Vocabulary WG to determine how best to represent and validate these preferred, category-specific value sets.

ServiceRequest.category Domain ServiceRequest.code ValueSet ValueSet OID
educational-attainment Educational Attainment VSAC - Less than high school education ServiceRequests 2.16.840.1.113762.1.4.1247.57
elder-abuse Elder Abuse VSAC - Elder Abuse ServiceRequests 2.16.840.1.113762.1.4.1247.68
employment-status Employment Status VSAC - Unemployment ServiceRequests 2.16.840.1.113762.1.4.1247.60
financial-insecurity Financial Insecurity VSAC - Financial Insecurity ServiceRequests 2.16.840.1.113762.1.4.1247.31
food-insecurity Food Insecurity VSAC - Food Insecurity ServiceRequests 2.16.840.1.113762.1.4.1247.11
health-insurance-coverage-status Health Insurance Coverage Status VSAC - Health Insurance Coverage Status ServiceRequests 2.16.840.1.113762.1.4.1247.124
health-literacy Health Literacy VSAC - Health Literacy ServiceRequests 2.16.840.1.113762.1.4.1247.119
homelessness Homelessness VSAC - Homelessness ServiceRequests 2.16.840.1.113762.1.4.1247.21
housing-instability Housing Instability VSAC - Housing Instability ServiceRequests 2.16.840.1.113762.1.4.1247.45
inadequate-housing Inadequate Housing VSAC - Inadequate Housing ServiceRequests 2.16.840.1.113762.1.4.1247.53
intimate-partner-violence Intimate Partner Violence VSAC - Intimate Partner Violence ServiceRequests 2.16.840.1.113762.1.4.1247.98
material-hardship Material Hardship VSAC - Material Hardship ServiceRequests 2.16.840.1.113762.1.4.1247.38
medical-cost-burden Medical Cost Burden VSAC - Medical Cost Burden ServiceRequests 2.16.840.1.113762.1.4.1247.123
social-connection Social Connection VSAC - Social Connection ServiceRequests 2.16.840.1.113762.1.4.1247.95
stress Stress VSAC - Stress ServiceRequests 2.16.840.1.113762.1.4.1247.92
transportation-insecurity Transportation Insecurity VSAC - Transportation Insecurity ServiceRequests 2.16.840.1.113762.1.4.1247.28
veteran-status Veteran Status VSAC - Veteran Status ServiceRequests 2.16.840.1.113762.1.4.1247.91

Usage:

Formal Views of Profile Content

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

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*ServiceRequestA request for a service to address an SDOH condition, observation or goal.
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... pertainsToGoal S0..*Reference(Goal)Pertains to SDOH goal
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
.... value[x] S1..1Reference(SDOHCC Goal)Value of extension
... Slices for basedOn 0..*Reference(CarePlan | ServiceRequest)What request fulfills
Slice: Unordered, Open by profile:resolve()
.... basedOn:SupportedBasedOn S0..*Reference(SDOHCC ServiceRequest)What request fulfills
... intent S1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
... Slices for category 0..*CodeableConceptClassification of service
Slice: Unordered, Open by value:$this
.... category:SDOH S0..*CodeableConcepte.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.


... priority S0..1coderoutine | urgent | asap | stat
... code S1..1CodeableConceptWhat is being requested/ordered.
Binding: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.

... Slices for orderDetail 0..*CodeableConceptAdditional order information
Slice: Unordered, Open by pattern:coding
.... orderDetail:SubjectContactDetail S0..1CodeableConceptAdditional order information
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: contacting-subject-prohibited
... subject S1..1Reference(Group | US Core Patient Profile | US Core Location Profile)Individual or Entity the service is ordered for
... occurrence[x] S0..1dateTime, Period, TimingWhen service should occur
... authoredOn S0..1dateTimeDate request signed
... requester S0..1Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile)Who/what is requesting service
... performer S0..*Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile)Requested performer
... reasonCode 0..*CodeableConceptExplanation/Justification for procedure or service
... Slices for reasonReference 0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
Slice: Unordered, Open by profile:resolve()
.... reasonReference:SupportedReasonReference S0..*Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment)Explanation/Justification for service or service
... Slices for supportingInfo 0..*Reference(Resource)Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:SupportedSupportingInfo S0..*Reference(SDOHCC Consent)Additional clinical information
... specimen 0..0
... bodySite 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
ServiceRequest.category:SDOHrequiredSDOHCCValueSetSDOHCategory
ServiceRequest.coderequiredUSCoreProcedureCodes
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C0..*ServiceRequestA request for a service to address an SDOH condition, observation or goal.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... pertainsToGoal S0..*Reference(Goal)Pertains to SDOH goal
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
.... value[x] S1..1Reference(SDOHCC Goal)Value of extension
... Slices for basedOn Σ0..*Reference(CarePlan | ServiceRequest)What request fulfills
Slice: Unordered, Open by profile:resolve()
.... basedOn:SupportedBasedOn SΣ0..*Reference(SDOHCC ServiceRequest)What request fulfills
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... Slices for category Σ0..*CodeableConceptClassification of service
Slice: Unordered, Open by value:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:SDOH SΣ0..*CodeableConcepte.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.


... priority SΣ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code SΣ1..1CodeableConceptWhat is being requested/ordered.
Binding: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.

... Slices for orderDetail ΣC0..*CodeableConceptAdditional order information
Slice: Unordered, Open by pattern:coding
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


.... orderDetail:SubjectContactDetail SΣC0..1CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: contacting-subject-prohibited
... subject SΣ1..1Reference(Group | US Core Patient Profile | US Core Location Profile)Individual or Entity the service is ordered for
... occurrence[x] SΣ0..1When service should occur
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... authoredOn SΣ0..1dateTimeDate request signed
... requester SΣ0..1Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile)Who/what is requesting service
... performer SΣ0..*Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile)Requested performer
... reasonCode Σ0..*CodeableConceptExplanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... Slices for reasonReference Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
Slice: Unordered, Open by profile:resolve()
.... reasonReference:SupportedReasonReference SΣ0..*Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment)Explanation/Justification for service or service
... Slices for supportingInfo 0..*Reference(Resource)Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:SupportedSupportingInfo S0..*Reference(SDOHCC Consent)Additional clinical information

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
ServiceRequest.statusrequiredRequestStatus
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.categoryexampleServiceRequestCategoryCodes
ServiceRequest.category:SDOHrequiredSDOHCCValueSetSDOHCategory
ServiceRequest.priorityrequiredRequestPriority
ServiceRequest.coderequiredUSCoreProcedureCodes
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
ServiceRequest.orderDetail:SubjectContactDetailexamplePattern: contacting-subject-prohibited
ServiceRequest.reasonCodeexampleProcedureReasonCodes
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C0..*ServiceRequestA request for a service to address an SDOH condition, observation or goal.
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... pertainsToGoal S0..*Reference(Goal)Pertains to SDOH goal
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
.... value[x] S1..1Reference(SDOHCC Goal)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifiers assigned to this order
... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... Slices for basedOn Σ0..*Reference(CarePlan | ServiceRequest)What request fulfills
Slice: Unordered, Open by profile:resolve()
.... basedOn:SupportedBasedOn SΣ0..*Reference(SDOHCC ServiceRequest)What request fulfills
... replaces Σ0..*Reference(ServiceRequest)What request replaces
... requisition Σ0..1IdentifierComposite Request ID
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... Slices for category Σ0..*CodeableConceptClassification of service
Slice: Unordered, Open by value:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:SDOH SΣ0..*CodeableConcepte.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.


... priority SΣ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code SΣ1..1CodeableConceptWhat is being requested/ordered.
Binding: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.

... Slices for orderDetail ΣC0..*CodeableConceptAdditional order information
Slice: Unordered, Open by pattern:coding
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


.... orderDetail:SubjectContactDetail SΣC0..1CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: contacting-subject-prohibited
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... quantity[x] Σ0..1Service amount
.... quantityQuantityQuantity
.... quantityRatioRatio
.... quantityRangeRange
... subject SΣ1..1Reference(Group | US Core Patient Profile | US Core Location Profile)Individual or Entity the service is ordered for
... encounter Σ0..1Reference(Encounter)Encounter in which the request was created
... occurrence[x] SΣ0..1When service should occur
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... asNeeded[x] Σ0..1Preconditions 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.

.... asNeededBooleanboolean
.... asNeededCodeableConceptCodeableConcept
... authoredOn SΣ0..1dateTimeDate request signed
... requester SΣ0..1Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile)Who/what is requesting service
... performerType Σ0..1CodeableConceptPerformer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer SΣ0..*Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile)Requested performer
... locationCode Σ0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ0..*Reference(Location)Requested location
... reasonCode Σ0..*CodeableConceptExplanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... Slices for reasonReference Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
Slice: Unordered, Open by profile:resolve()
.... reasonReference:SupportedReasonReference SΣ0..*Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment)Explanation/Justification for service or service
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... Slices for supportingInfo 0..*Reference(Resource)Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:SupportedSupportingInfo S0..*Reference(SDOHCC Consent)Additional clinical information
... note 0..*AnnotationComments
... patientInstruction Σ0..1stringPatient or consumer-oriented instructions
... relevantHistory 0..*Reference(Provenance)Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
ServiceRequest.statusrequiredRequestStatus
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.categoryexampleServiceRequestCategoryCodes
ServiceRequest.category:SDOHrequiredSDOHCCValueSetSDOHCategory
ServiceRequest.priorityrequiredRequestPriority
ServiceRequest.coderequiredUSCoreProcedureCodes
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
ServiceRequest.orderDetail:SubjectContactDetailexamplePattern: contacting-subject-prohibited
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
ServiceRequest.performerTypeexampleParticipantRoles
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes

This structure is derived from ServiceRequest

Summary

Mandatory: 1 element
Must-Support: 16 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element ServiceRequest.basedOn is sliced based on the value of profile:resolve()
  • The element ServiceRequest.category is sliced based on the value of value:$this
  • The element ServiceRequest.orderDetail is sliced based on the value of pattern:coding
  • The element ServiceRequest.reasonReference is sliced based on the value of profile:resolve()
  • The element ServiceRequest.supportingInfo is sliced based on the value of profile:resolve()

Differential View

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*ServiceRequestA request for a service to address an SDOH condition, observation or goal.
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... pertainsToGoal S0..*Reference(Goal)Pertains to SDOH goal
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
.... value[x] S1..1Reference(SDOHCC Goal)Value of extension
... Slices for basedOn 0..*Reference(CarePlan | ServiceRequest)What request fulfills
Slice: Unordered, Open by profile:resolve()
.... basedOn:SupportedBasedOn S0..*Reference(SDOHCC ServiceRequest)What request fulfills
... intent S1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
... Slices for category 0..*CodeableConceptClassification of service
Slice: Unordered, Open by value:$this
.... category:SDOH S0..*CodeableConcepte.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.


... priority S0..1coderoutine | urgent | asap | stat
... code S1..1CodeableConceptWhat is being requested/ordered.
Binding: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.

... Slices for orderDetail 0..*CodeableConceptAdditional order information
Slice: Unordered, Open by pattern:coding
.... orderDetail:SubjectContactDetail S0..1CodeableConceptAdditional order information
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: contacting-subject-prohibited
... subject S1..1Reference(Group | US Core Patient Profile | US Core Location Profile)Individual or Entity the service is ordered for
... occurrence[x] S0..1dateTime, Period, TimingWhen service should occur
... authoredOn S0..1dateTimeDate request signed
... requester S0..1Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile)Who/what is requesting service
... performer S0..*Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile)Requested performer
... reasonCode 0..*CodeableConceptExplanation/Justification for procedure or service
... Slices for reasonReference 0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
Slice: Unordered, Open by profile:resolve()
.... reasonReference:SupportedReasonReference S0..*Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment)Explanation/Justification for service or service
... Slices for supportingInfo 0..*Reference(Resource)Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:SupportedSupportingInfo S0..*Reference(SDOHCC Consent)Additional clinical information
... specimen 0..0
... bodySite 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
ServiceRequest.category:SDOHrequiredSDOHCCValueSetSDOHCategory
ServiceRequest.coderequiredUSCoreProcedureCodes

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C0..*ServiceRequestA request for a service to address an SDOH condition, observation or goal.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... pertainsToGoal S0..*Reference(Goal)Pertains to SDOH goal
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
.... value[x] S1..1Reference(SDOHCC Goal)Value of extension
... Slices for basedOn Σ0..*Reference(CarePlan | ServiceRequest)What request fulfills
Slice: Unordered, Open by profile:resolve()
.... basedOn:SupportedBasedOn SΣ0..*Reference(SDOHCC ServiceRequest)What request fulfills
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... Slices for category Σ0..*CodeableConceptClassification of service
Slice: Unordered, Open by value:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:SDOH SΣ0..*CodeableConcepte.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.


... priority SΣ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code SΣ1..1CodeableConceptWhat is being requested/ordered.
Binding: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.

... Slices for orderDetail ΣC0..*CodeableConceptAdditional order information
Slice: Unordered, Open by pattern:coding
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


.... orderDetail:SubjectContactDetail SΣC0..1CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: contacting-subject-prohibited
... subject SΣ1..1Reference(Group | US Core Patient Profile | US Core Location Profile)Individual or Entity the service is ordered for
... occurrence[x] SΣ0..1When service should occur
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... authoredOn SΣ0..1dateTimeDate request signed
... requester SΣ0..1Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile)Who/what is requesting service
... performer SΣ0..*Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile)Requested performer
... reasonCode Σ0..*CodeableConceptExplanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... Slices for reasonReference Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
Slice: Unordered, Open by profile:resolve()
.... reasonReference:SupportedReasonReference SΣ0..*Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment)Explanation/Justification for service or service
... Slices for supportingInfo 0..*Reference(Resource)Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:SupportedSupportingInfo S0..*Reference(SDOHCC Consent)Additional clinical information

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
ServiceRequest.statusrequiredRequestStatus
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.categoryexampleServiceRequestCategoryCodes
ServiceRequest.category:SDOHrequiredSDOHCCValueSetSDOHCategory
ServiceRequest.priorityrequiredRequestPriority
ServiceRequest.coderequiredUSCoreProcedureCodes
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
ServiceRequest.orderDetail:SubjectContactDetailexamplePattern: contacting-subject-prohibited
ServiceRequest.reasonCodeexampleProcedureReasonCodes

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C0..*ServiceRequestA request for a service to address an SDOH condition, observation or goal.
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... pertainsToGoal S0..*Reference(Goal)Pertains to SDOH goal
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
.... value[x] S1..1Reference(SDOHCC Goal)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifiers assigned to this order
... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... Slices for basedOn Σ0..*Reference(CarePlan | ServiceRequest)What request fulfills
Slice: Unordered, Open by profile:resolve()
.... basedOn:SupportedBasedOn SΣ0..*Reference(SDOHCC ServiceRequest)What request fulfills
... replaces Σ0..*Reference(ServiceRequest)What request replaces
... requisition Σ0..1IdentifierComposite Request ID
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... Slices for category Σ0..*CodeableConceptClassification of service
Slice: Unordered, Open by value:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:SDOH SΣ0..*CodeableConcepte.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.


... priority SΣ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code SΣ1..1CodeableConceptWhat is being requested/ordered.
Binding: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.

... Slices for orderDetail ΣC0..*CodeableConceptAdditional order information
Slice: Unordered, Open by pattern:coding
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


.... orderDetail:SubjectContactDetail SΣC0..1CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: contacting-subject-prohibited
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... quantity[x] Σ0..1Service amount
.... quantityQuantityQuantity
.... quantityRatioRatio
.... quantityRangeRange
... subject SΣ1..1Reference(Group | US Core Patient Profile | US Core Location Profile)Individual or Entity the service is ordered for
... encounter Σ0..1Reference(Encounter)Encounter in which the request was created
... occurrence[x] SΣ0..1When service should occur
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... asNeeded[x] Σ0..1Preconditions 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.

.... asNeededBooleanboolean
.... asNeededCodeableConceptCodeableConcept
... authoredOn SΣ0..1dateTimeDate request signed
... requester SΣ0..1Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile)Who/what is requesting service
... performerType Σ0..1CodeableConceptPerformer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer SΣ0..*Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile)Requested performer
... locationCode Σ0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ0..*Reference(Location)Requested location
... reasonCode Σ0..*CodeableConceptExplanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... Slices for reasonReference Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
Slice: Unordered, Open by profile:resolve()
.... reasonReference:SupportedReasonReference SΣ0..*Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment)Explanation/Justification for service or service
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... Slices for supportingInfo 0..*Reference(Resource)Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:SupportedSupportingInfo S0..*Reference(SDOHCC Consent)Additional clinical information
... note 0..*AnnotationComments
... patientInstruction Σ0..1stringPatient or consumer-oriented instructions
... relevantHistory 0..*Reference(Provenance)Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
ServiceRequest.statusrequiredRequestStatus
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.categoryexampleServiceRequestCategoryCodes
ServiceRequest.category:SDOHrequiredSDOHCCValueSetSDOHCategory
ServiceRequest.priorityrequiredRequestPriority
ServiceRequest.coderequiredUSCoreProcedureCodes
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
ServiceRequest.orderDetail:SubjectContactDetailexamplePattern: contacting-subject-prohibited
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
ServiceRequest.performerTypeexampleParticipantRoles
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes

This structure is derived from ServiceRequest

Summary

Mandatory: 1 element
Must-Support: 16 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element ServiceRequest.basedOn is sliced based on the value of profile:resolve()
  • The element ServiceRequest.category is sliced based on the value of value:$this
  • The element ServiceRequest.orderDetail is sliced based on the value of pattern:coding
  • The element ServiceRequest.reasonReference is sliced based on the value of profile:resolve()
  • The element ServiceRequest.supportingInfo is sliced based on the value of profile:resolve()

 

Other representations of profile: CSV, Excel, Schematron