| Left: | US Core ServiceRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest) |
| Right: | Referral Service Request (http://hl7.org/fhir/us/bser/StructureDefinition/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/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 'ReferralServiceRequest' |
| Information | StructureDefinition.title | Values for title differ: 'US Core ServiceRequest Profile' vs '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.' |
| Warning | ServiceRequest.extension | Elements differ in short: 'Additional content defined by implementations' vs 'Extension' |
| Warning | ServiceRequest.extension | Elements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension' |
| Warning | ServiceRequest.identifier | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | ServiceRequest.identifier | Element minimum cardinalities differ: '0' vs '1' |
| Information | ServiceRequest.identifier | Element maximum cardinalities differ: '2147483647' vs '2' |
| Warning | ServiceRequest.basedOn | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Error | ServiceRequest.basedOn | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/bser/StructureDefinition/ReferralServiceRequest]]) |
| 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.' |
| Information | ServiceRequest.occurrence[x] | Element minimum cardinalities differ: '0' vs '1' |
| Warning | ServiceRequest.authoredOn | 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/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device]]) |
| Warning | ServiceRequest.performer | Elements differ in definition for mustSupport: 'false' vs 'true' |
| 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/StructureDefinition/HealthcareService], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam]]) |
| Warning | ServiceRequest.reasonCode | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | ServiceRequest.reasonReference | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | ServiceRequest.insurance | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | ServiceRequest.note | Elements differ in definition for mustSupport: 'false' vs 'true' |
| 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 services 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 | 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 | Referral Service Request |
|
| type | ServiceRequest | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest | http://hl7.org/fhir/us/bser/StructureDefinition/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 | Extension Slice: Unordered, Open by value:url |
| ||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier | Σ | 0..* | Identifier | Identifiers assigned to this order | SΣ | 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 | SΣ | 0..* | Reference(Referral Service Request) | 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. | ?!SΣ | 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. | ?!SΣ | 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. | SΣ | 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) | SΣ | 1..1 | CodeableConcept | Referral or specific type of referral Binding: ?? (extensible): US Core Procedure Codes |
| ||||||||
| 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 | SΣ | 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 | SΣ | 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 | SΣ | 1..1 | Reference(US Core Patient Profile | US Core RelatedPerson Profile | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Organization Profile | Device) | 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 | SΣ | 1..1 | Reference(HealthcareService | Device | US Core Patient Profile | US Core RelatedPerson Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) | Requested performer |
| ||||||||
| locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ?? (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..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ?? (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. |
| ||||||||
| 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 | SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile | Observation) | 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 | 0..* | Reference(Consent | 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 | S | 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 | |||||||||||||||||