| Left: | US Core ServiceRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest) |
| Right: | BSeR Referral Service Request (http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralServiceRequest) |
| Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest' vs 'http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralServiceRequest' |
| Error | StructureDefinition.version | Values for version differ: '6.0.0-ballot' vs '2.0.0-connectathon' |
| Information | StructureDefinition.name | Values for name differ: 'USCoreServiceRequestProfile' vs 'BSeR_ReferralServiceRequest' |
| Information | StructureDefinition.title | Values for title differ: 'US Core ServiceRequest Profile' vs 'BSeR Referral Service Request' |
| Information | StructureDefinition.date | Values for date differ: '2022-10-07' vs '2023-04-13T06:59:07+00:00' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)' |
| Warning | ServiceRequest | Elements differ in definition: '\-' vs 'A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.' |
| Information | ServiceRequest.identifier | Element minimum cardinalities differ: '0' vs '1' |
| Information | ServiceRequest.identifier | Element maximum cardinalities differ: '2147483647' vs '2' |
| Warning | ServiceRequest.status | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | ServiceRequest.intent | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | ServiceRequest.category | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | ServiceRequest.code | Elements differ in short: 'What is being requested/ordered' vs 'Referral or specific type of referral' |
| Warning | ServiceRequest.code | Elements differ in definition: 'A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested.' vs 'Referral or specific type of referral. If the code used describes the type of/reason for referral (such as 'Referral to diabetes prevention program') then reasonCode may be omitted. If the code used doesn't describe the type of/reason for referral then reasonCode should contain a value.' |
| Warning | ServiceRequest.code | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | ServiceRequest.subject | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | ServiceRequest.occurrence[x] | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | ServiceRequest.occurrence[x] | Element minimum cardinalities differ: '0' vs '1' |
| Warning | ServiceRequest.authoredOn | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | ServiceRequest.requester | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | ServiceRequest.requester | Element minimum cardinalities differ: '0' vs '1' |
| Error | ServiceRequest.requester | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralInitiatorPractitionerRole]]) |
| Information | ServiceRequest.performer | Element minimum cardinalities differ: '0' vs '1' |
| Information | ServiceRequest.performer | Element maximum cardinalities differ: '2147483647' vs '1' |
| Error | ServiceRequest.performer | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam], CanonicalType[http://hl7.org/fhir/StructureDefinition/HealthcareService], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralRecipientPractitionerRole]]) |
| Warning | ServiceRequest.reasonCode | Elements differ in short: 'Explanation/Justification for procedure or service' vs 'Reason for referral' |
| Warning | ServiceRequest.reasonCode | Elements differ in definition: 'An explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in `supportingInfo`.' vs 'Reason for referral. Should be present if the reason isn't pre-coordinated in the code (e.g. 'Referral').' |
| Warning | ServiceRequest.reasonCode | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | ServiceRequest.reasonCode | Element maximum cardinalities differ: '2147483647' vs '1' |
| Warning | ServiceRequest.insurance | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | ServiceRequest.supportingInfo | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | ServiceRequest.supportingInfo | Element minimum cardinalities differ: '0' vs '1' |
| Information | ServiceRequest.supportingInfo | Element maximum cardinalities differ: '2147483647' vs '1' |
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/ServiceRequest | ||
| copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
| |
| date | 2022-10-07 | 2023-04-13T06:59:07+00:00 |
|
| description | This profile sets minimum expectations for recording, searching, and fetching the ServiceRequest resource to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource when using this profile. It provides the floor for standards development for specific use cases.fhirVersion: 4.0.1 | The referral service request is a profile of the FHIR ServiceRequest resource, a record of a request for service such as diagnostic investigations, treatments, or operations to be performed. |
|
| experimental | |||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCoreServiceRequestProfile | BSeR_ReferralServiceRequest |
|
| publisher | HL7 International - Cross-Group Projects | HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm) |
|
| purpose | |||
| status | active | ||
| title | US Core ServiceRequest Profile | BSeR Referral Service Request |
|
| type | ServiceRequest | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest | http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-ReferralServiceRequest |
|
| version | 6.0.0-ballot | 2.0.0-connectathon |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed | C | 0..* | ServiceRequest | A request for a service to be performed |
| ||||||||
 id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
 extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier | Σ | 0..* | Identifier | Identifiers assigned to this order | Σ | 1..2 | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:type |
| ||||||||
| instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition | |||||||||
| basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | |||||||||
| replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces | |||||||||
| requisition | Σ | 0..1 | Identifier | Composite Request ID | Σ | 0..1 | Identifier | Composite Request ID | |||||||||
| status | ?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of a service order. | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of a service order. |
| ||||||||
| intent | ?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of service request. | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of service request. Required Pattern: order |
| ||||||||
| Slices for category | SΣ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ?? (example): Classification of the requested service. | Σ | 0..* | CodeableConcept | Classification of service Binding: ?? (example): Classification of the requested service. |
| ||||||||
| priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | |||||||||
| doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed | |||||||||
| code | SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: ?? (extensible) | Σ | 1..1 | CodeableConcept | Referral or specific type of referral Binding: ?? (extensible) |
| ||||||||
| orderDetail | ΣC | 0..* | CodeableConcept | Additional order information Binding: ?? (example): Codified order entry details which are based on order context. | ΣC | 0..* | CodeableConcept | Additional order information Binding: ?? (example): Codified order entry details which are based on order context. | |||||||||
| quantity[x] | Σ | 0..1 | Quantity, Ratio, Range | Service amount | Σ | 0..1 | Quantity, Ratio, Range | Service amount | |||||||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Individual or Entity the service is ordered for | Σ | 1..1 | Reference(US Core Patient Profile) | Individual or Entity the service is ordered for |
| ||||||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created | |||||||||
| occurrence[x] | SΣ | 0..1 | Period S, dateTime, Timing | When service should occur | Σ | 1..1 | dateTime | When service should occur |
| ||||||||
| asNeeded[x] | Σ | 0..1 | boolean, CodeableConcept | Preconditions for service Binding: ?? (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | Σ | 0..1 | boolean, CodeableConcept | Preconditions for service Binding: ?? (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | |||||||||
| authoredOn | SΣ | 0..1 | dateTime | Date request signed | Σ | 0..1 | dateTime | Date request signed |
| ||||||||
| requester | SΣ | 0..1 | Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile | Device) | Who/what is requesting service | Σ | 1..1 | Reference(BSeR Referral Initiator Practitioner Role) | Who/what is requesting service |
| ||||||||
| performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: ?? (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | Σ | 0..1 | CodeableConcept | Performer role Binding: ?? (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | |||||||||
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | Σ | 1..1 | Reference(BSeR Referral Recipient Practitioner Role) | Requested performer |
| ||||||||
| locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ?? (example): A location type where services are delivered. | Σ | 0..* | CodeableConcept | Requested location Binding: ?? (example): A location type where services are delivered. | |||||||||
| locationReference | Σ | 0..* | Reference(Location) | Requested location | Σ | 0..* | Reference(Location) | Requested location | |||||||||
| reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ?? (extensible) | SΣ | 0..1 | CodeableConcept | Reason for referral Binding: ?? (extensible) |
| ||||||||
| reasonReference | Σ | 0..* | Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile | US Core DiagnosticReport Profile for Report and Note Exchange | US Core DiagnosticReport Profile for Laboratory Results Reporting | US Core DocumentReference Profile | US Core Laboratory Result Observation Profile | US Core Observation Pregnancy Status Profile | US Core Observation Pregnancy Intent Profile | US Core Observation Occupation Profile | US Core Respiratory Rate Profile | US Core Simple Observation Profile | US Core Heart Rate Profile | US Core Smoking Status Observation Profile | US Core Observation Screening Assessment Profile | US Core Observation Clinical Result Profile | US Core Vital Signs Profile) | Explanation/Justification for service or service | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | |||||||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | S | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage Slice: Unordered, Open by profile:resolve() |
| |||||||||
| supportingInfo | 0..* | Reference(Resource) | Additional clinical information | S | 1..1 | Reference(BSeR Referral Request Document Bundle) | Additional clinical information |
| |||||||||
| specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples | Σ | 0..* | Reference(Specimen) | Procedure Samples | |||||||||
| bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: ?? (example): Codes describing anatomical locations. May include laterality. | Σ | 0..* | CodeableConcept | Location on Body Binding: ?? (example): Codes describing anatomical locations. May include laterality. | |||||||||
| note | 0..* | Annotation | Comments | 0..* | Annotation | Comments | |||||||||||
| patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions | Σ | 0..1 | string | Patient or consumer-oriented instructions | |||||||||
| relevantHistory | 0..* | Reference(Provenance) | Request provenance | 0..* | Reference(Provenance) | Request provenance | |||||||||||
| Documentation for this format | |||||||||||||||||