CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
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CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v2.0.0-cibuild) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ACH Daily Event ServiceRequest

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-servicerequest Version: 2.0.0-cibuild
Standards status: Trial-use Maturity Level: 1 Computable Name: AcuteCareHospitalDailyEventServiceRequest

This profile contains Required and Must Support data elements for reporting COVID-19, Influenza, and Respiratory Syncytial Virus (RSV) laboratory order information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile inherits from the US Core 6.1.0 ServiceRequest profile and applies capabilities from the QI Core 6.0.0 ServiceRequest profile and QI Core 6.0.0 Service Not Requested profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.0.0:

  • New Content

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ServiceRequest C 0..* USCoreServiceRequestProfile(6.1.0) A request for a service to be performed
    Constraints: prr-1
    ... id Σ 1..1 id Logical id of this artifact
    ... 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:reasonRefused S 0..1 CodeableConcept Extension
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
    Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
    ... status ?!SΣ 1..1 code (QI-Core)(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): The status of a service order.
    ... intent ?!SΣ 1..1 code (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of service request.
    ... Slices for category SΣ 0..* CodeableConcept (USCDI) Classification of service
    Slice: Unordered, Open by pattern:$this
    Binding: ServiceRequestCategoryCodes (extensible)
    .... category:us-core SΣ 0..* CodeableConcept (USCDI) Classification of service
    Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
    ... priority SΣ 0..1 code routine | urgent | asap | stat
    Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
    ... doNotPerform ?!SΣ 0..1 boolean (QI-Core) True if service/procedure should not be performed
    ... code SΣC 1..1 CodeableConcept (USCDI) What is being requested/ordered
    Binding: ProcedureCodes(SNOMEDCT) (extensible)
    Constraints: not-done-extension-present
    .... Slices for extension Content/Rules for all slices
    ..... extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not requested
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    ... subject SΣ 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) Individual or Entity the service is ordered for
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... encounter SΣ 0..1 Reference(Encounter) Encounter in which the request was created
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... occurrence[x] SΣ 0..1 (QI-Core)(USCDI) When service should occur
    .... occurrencePeriod Period S
    .... occurrenceDateTime dateTime
    .... occurrenceTiming Timing
    ... asNeeded[x] SΣ 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 SΣ 1..1 dateTime (QI-Core)(USCDI) Date request signed
    ... requester SΣ 0..1 Reference(US Core Practitioner Profile(6.1.0) S | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | PractitionerRole | US Core RelatedPerson Profile | Device) (USCDI) Who/what is requesting service
    ... reasonCode Σ 0..* CodeableConcept (QI-Core)(USCDI) Explanation/Justification for procedure or service
    Binding: USCoreConditionCodes (6.1.0) (extensible)
    ... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) (QI-Core)(USCDI) Explanation/Justification for service or service
    ... specimen SΣ 0..* Reference(ACH Daily Event Specimen) Procedure Samples
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

    doco 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 extensible Service Request Category Codes 📦4.0.1 FHIR Std.
    ServiceRequest.category:us-core Base required US Core ServiceRequest Category Codes 📦6.1.0 US Core v6.1
    ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
    ServiceRequest.code Base extensible Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
    ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
    ServiceRequest.reasonCode Base extensible US Core Condition Codes 📍6.1.0 US Core v6.1

    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()
    not-done-extension-present error ServiceRequest.code qicore-notDoneValueSet extension does not exist extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()
    prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

    This structure is derived from USCoreServiceRequestProfile

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ServiceRequest 0..* USCoreServiceRequestProfile(6.1.0) A request for a service to be performed
    ... id 1..1 id Logical id of this artifact
    ... meta
    .... Slices for extension Content/Rules for all slices
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:reasonRefused S 0..1 CodeableConcept Extension
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
    Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
    ... category 0..* CodeableConcept (USCDI) Classification of service
    Binding: ServiceRequestCategoryCodes (extensible)
    ... priority S 0..1 code routine | urgent | asap | stat
    ... doNotPerform S 0..1 boolean (QI-Core) True if service/procedure should not be performed
    ... code C 1..1 CodeableConcept (USCDI) What is being requested/ordered
    Binding: ProcedureCodes(SNOMEDCT) (extensible)
    Constraints: not-done-extension-present
    .... Slices for extension Content/Rules for all slices
    ..... extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not requested
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    ... subject 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) Individual or Entity the service is ordered for
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... encounter S 0..1 Reference(Encounter) Encounter in which the request was created
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... occurrence[x] 0..1 Period, dateTime, Timing (QI-Core)(USCDI) When service should occur
    ... asNeeded[x] S 0..1 boolean, CodeableConcept Preconditions for service
    ... authoredOn 1..1 dateTime (QI-Core)(USCDI) Date request signed
    ... reasonCode 0..* CodeableConcept (QI-Core)(USCDI) Explanation/Justification for procedure or service
    ... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) (QI-Core)(USCDI) Explanation/Justification for service or service
    ... specimen S 0..* Reference(ACH Daily Event Specimen) Procedure Samples
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    ServiceRequest.category Base extensible Service Request Category Codes 📦4.0.1 FHIR Std.
    ServiceRequest.code Base extensible Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    not-done-extension-present error ServiceRequest.code qicore-notDoneValueSet extension does not exist extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ServiceRequest C 0..* USCoreServiceRequestProfile(6.1.0) A request for a service to be performed
    Constraints: prr-1
    ... id Σ 1..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    .... versionId Σ 0..1 id Version specific identifier
    .... lastUpdated Σ 0..1 instant When the resource version last changed
    .... source Σ 0..1 uri Identifies where the resource comes from
    .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    .... security Σ 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
    .... tag Σ 0..* Coding Tags applied to this resource
    Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
    ... 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 BindingsPurpose
    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:reasonRefused S 0..1 CodeableConcept Extension
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
    Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
    ... 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
    ... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
    ... replaces Σ 0..* Reference(ServiceRequest) What request replaces
    ... requisition Σ 0..1 Identifier Composite Request ID
    ... status ?!SΣ 1..1 code (QI-Core)(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): The status of a service order.
    ... intent ?!SΣ 1..1 code (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of service request.
    ... Slices for category SΣ 0..* CodeableConcept (USCDI) Classification of service
    Slice: Unordered, Open by pattern:$this
    Binding: ServiceRequestCategoryCodes (extensible)
    .... category:us-core SΣ 0..* CodeableConcept (USCDI) Classification of service
    Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
    ... priority SΣ 0..1 code routine | urgent | asap | stat
    Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
    ... doNotPerform ?!SΣ 0..1 boolean (QI-Core) True if service/procedure should not be performed
    ... code SΣC 1..1 CodeableConcept (USCDI) What is being requested/ordered
    Binding: ProcedureCodes(SNOMEDCT) (extensible)
    Constraints: not-done-extension-present
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not requested
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text Σ 0..1 string Plain text representation of the concept
    ... orderDetail ΣC 0..* CodeableConcept Additional order information
    Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
    ... quantity[x] Σ 0..1 Service amount
    .... quantityQuantity Quantity
    .... quantityRatio Ratio
    .... quantityRange Range
    ... subject SΣ 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) Individual or Entity the service is ordered for
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... encounter SΣ 0..1 Reference(Encounter) Encounter in which the request was created
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... occurrence[x] SΣ 0..1 (QI-Core)(USCDI) When service should occur
    .... occurrencePeriod Period S
    .... occurrenceDateTime dateTime
    .... occurrenceTiming Timing
    ... asNeeded[x] SΣ 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 SΣ 1..1 dateTime (QI-Core)(USCDI) Date request signed
    ... requester SΣ 0..1 Reference(US Core Practitioner Profile(6.1.0) S | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | PractitionerRole | US Core RelatedPerson Profile | Device) (USCDI) Who/what is requesting service
    ... performerType Σ 0..1 CodeableConcept Performer role
    Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
    ... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
    ... 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 (QI-Core)(USCDI) Explanation/Justification for procedure or service
    Binding: USCoreConditionCodes (6.1.0) (extensible)
    ... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) (QI-Core)(USCDI) Explanation/Justification for service or service
    ... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
    ... supportingInfo 0..* Reference(Resource) Additional clinical information
    ... specimen SΣ 0..* Reference(ACH Daily Event Specimen) Procedure Samples
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... bodySite Σ 0..* CodeableConcept Location on Body
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
    ... note 0..* Annotation Comments
    ... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
    ... relevantHistory 0..* Reference(Provenance) Request provenance

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    ServiceRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
    ServiceRequest.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
    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 extensible Service Request Category Codes 📦4.0.1 FHIR Std.
    ServiceRequest.category:us-core Base required US Core ServiceRequest Category Codes 📦6.1.0 US Core v6.1
    ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
    ServiceRequest.code Base extensible Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
    ServiceRequest.orderDetail Base example Service Request Order Details Codes 📦4.0.1 FHIR Std.
    ServiceRequest.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    ServiceRequest.encounter.​type Base extensible ResourceType 📍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 v6.5
    ServiceRequest.reasonCode Base extensible US Core Condition Codes 📍6.1.0 US Core v6.1
    ServiceRequest.specimen.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    ServiceRequest.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.

    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()
    not-done-extension-present error ServiceRequest.code qicore-notDoneValueSet extension does not exist extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()
    prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ServiceRequest C 0..* USCoreServiceRequestProfile(6.1.0) A request for a service to be performed
    Constraints: prr-1
    ... id Σ 1..1 id Logical id of this artifact
    ... 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:reasonRefused S 0..1 CodeableConcept Extension
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
    Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
    ... status ?!SΣ 1..1 code (QI-Core)(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): The status of a service order.
    ... intent ?!SΣ 1..1 code (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of service request.
    ... Slices for category SΣ 0..* CodeableConcept (USCDI) Classification of service
    Slice: Unordered, Open by pattern:$this
    Binding: ServiceRequestCategoryCodes (extensible)
    .... category:us-core SΣ 0..* CodeableConcept (USCDI) Classification of service
    Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
    ... priority SΣ 0..1 code routine | urgent | asap | stat
    Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
    ... doNotPerform ?!SΣ 0..1 boolean (QI-Core) True if service/procedure should not be performed
    ... code SΣC 1..1 CodeableConcept (USCDI) What is being requested/ordered
    Binding: ProcedureCodes(SNOMEDCT) (extensible)
    Constraints: not-done-extension-present
    .... Slices for extension Content/Rules for all slices
    ..... extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not requested
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    ... subject SΣ 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) Individual or Entity the service is ordered for
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... encounter SΣ 0..1 Reference(Encounter) Encounter in which the request was created
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... occurrence[x] SΣ 0..1 (QI-Core)(USCDI) When service should occur
    .... occurrencePeriod Period S
    .... occurrenceDateTime dateTime
    .... occurrenceTiming Timing
    ... asNeeded[x] SΣ 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 SΣ 1..1 dateTime (QI-Core)(USCDI) Date request signed
    ... requester SΣ 0..1 Reference(US Core Practitioner Profile(6.1.0) S | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | PractitionerRole | US Core RelatedPerson Profile | Device) (USCDI) Who/what is requesting service
    ... reasonCode Σ 0..* CodeableConcept (QI-Core)(USCDI) Explanation/Justification for procedure or service
    Binding: USCoreConditionCodes (6.1.0) (extensible)
    ... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) (QI-Core)(USCDI) Explanation/Justification for service or service
    ... specimen SΣ 0..* Reference(ACH Daily Event Specimen) Procedure Samples
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

    doco 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 extensible Service Request Category Codes 📦4.0.1 FHIR Std.
    ServiceRequest.category:us-core Base required US Core ServiceRequest Category Codes 📦6.1.0 US Core v6.1
    ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
    ServiceRequest.code Base extensible Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
    ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
    ServiceRequest.reasonCode Base extensible US Core Condition Codes 📍6.1.0 US Core v6.1

    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()
    not-done-extension-present error ServiceRequest.code qicore-notDoneValueSet extension does not exist extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()
    prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

    Differential View

    This structure is derived from USCoreServiceRequestProfile

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ServiceRequest 0..* USCoreServiceRequestProfile(6.1.0) A request for a service to be performed
    ... id 1..1 id Logical id of this artifact
    ... meta
    .... Slices for extension Content/Rules for all slices
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:reasonRefused S 0..1 CodeableConcept Extension
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
    Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
    ... category 0..* CodeableConcept (USCDI) Classification of service
    Binding: ServiceRequestCategoryCodes (extensible)
    ... priority S 0..1 code routine | urgent | asap | stat
    ... doNotPerform S 0..1 boolean (QI-Core) True if service/procedure should not be performed
    ... code C 1..1 CodeableConcept (USCDI) What is being requested/ordered
    Binding: ProcedureCodes(SNOMEDCT) (extensible)
    Constraints: not-done-extension-present
    .... Slices for extension Content/Rules for all slices
    ..... extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not requested
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    ... subject 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) Individual or Entity the service is ordered for
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... encounter S 0..1 Reference(Encounter) Encounter in which the request was created
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... occurrence[x] 0..1 Period, dateTime, Timing (QI-Core)(USCDI) When service should occur
    ... asNeeded[x] S 0..1 boolean, CodeableConcept Preconditions for service
    ... authoredOn 1..1 dateTime (QI-Core)(USCDI) Date request signed
    ... reasonCode 0..* CodeableConcept (QI-Core)(USCDI) Explanation/Justification for procedure or service
    ... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) (QI-Core)(USCDI) Explanation/Justification for service or service
    ... specimen S 0..* Reference(ACH Daily Event Specimen) Procedure Samples
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    ServiceRequest.category Base extensible Service Request Category Codes 📦4.0.1 FHIR Std.
    ServiceRequest.code Base extensible Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    not-done-extension-present error ServiceRequest.code qicore-notDoneValueSet extension does not exist extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. ServiceRequest C 0..* USCoreServiceRequestProfile(6.1.0) A request for a service to be performed
    Constraints: prr-1
    ... id Σ 1..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    .... versionId Σ 0..1 id Version specific identifier
    .... lastUpdated Σ 0..1 instant When the resource version last changed
    .... source Σ 0..1 uri Identifies where the resource comes from
    .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    .... security Σ 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
    .... tag Σ 0..* Coding Tags applied to this resource
    Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
    ... 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 BindingsPurpose
    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:reasonRefused S 0..1 CodeableConcept Extension
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
    Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
    ... 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
    ... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
    ... replaces Σ 0..* Reference(ServiceRequest) What request replaces
    ... requisition Σ 0..1 Identifier Composite Request ID
    ... status ?!SΣ 1..1 code (QI-Core)(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): The status of a service order.
    ... intent ?!SΣ 1..1 code (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of service request.
    ... Slices for category SΣ 0..* CodeableConcept (USCDI) Classification of service
    Slice: Unordered, Open by pattern:$this
    Binding: ServiceRequestCategoryCodes (extensible)
    .... category:us-core SΣ 0..* CodeableConcept (USCDI) Classification of service
    Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
    ... priority SΣ 0..1 code routine | urgent | asap | stat
    Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
    ... doNotPerform ?!SΣ 0..1 boolean (QI-Core) True if service/procedure should not be performed
    ... code SΣC 1..1 CodeableConcept (USCDI) What is being requested/ordered
    Binding: ProcedureCodes(SNOMEDCT) (extensible)
    Constraints: not-done-extension-present
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not requested
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text Σ 0..1 string Plain text representation of the concept
    ... orderDetail ΣC 0..* CodeableConcept Additional order information
    Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
    ... quantity[x] Σ 0..1 Service amount
    .... quantityQuantity Quantity
    .... quantityRatio Ratio
    .... quantityRange Range
    ... subject SΣ 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) Individual or Entity the service is ordered for
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... encounter SΣ 0..1 Reference(Encounter) Encounter in which the request was created
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... occurrence[x] SΣ 0..1 (QI-Core)(USCDI) When service should occur
    .... occurrencePeriod Period S
    .... occurrenceDateTime dateTime
    .... occurrenceTiming Timing
    ... asNeeded[x] SΣ 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 SΣ 1..1 dateTime (QI-Core)(USCDI) Date request signed
    ... requester SΣ 0..1 Reference(US Core Practitioner Profile(6.1.0) S | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | PractitionerRole | US Core RelatedPerson Profile | Device) (USCDI) Who/what is requesting service
    ... performerType Σ 0..1 CodeableConcept Performer role
    Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
    ... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
    ... 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 (QI-Core)(USCDI) Explanation/Justification for procedure or service
    Binding: USCoreConditionCodes (6.1.0) (extensible)
    ... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) (QI-Core)(USCDI) Explanation/Justification for service or service
    ... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
    ... supportingInfo 0..* Reference(Resource) Additional clinical information
    ... specimen SΣ 0..* Reference(ACH Daily Event Specimen) Procedure Samples
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... bodySite Σ 0..* CodeableConcept Location on Body
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
    ... note 0..* Annotation Comments
    ... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
    ... relevantHistory 0..* Reference(Provenance) Request provenance

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    ServiceRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
    ServiceRequest.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
    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 extensible Service Request Category Codes 📦4.0.1 FHIR Std.
    ServiceRequest.category:us-core Base required US Core ServiceRequest Category Codes 📦6.1.0 US Core v6.1
    ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
    ServiceRequest.code Base extensible Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
    ServiceRequest.orderDetail Base example Service Request Order Details Codes 📦4.0.1 FHIR Std.
    ServiceRequest.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    ServiceRequest.encounter.​type Base extensible ResourceType 📍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 v6.5
    ServiceRequest.reasonCode Base extensible US Core Condition Codes 📍6.1.0 US Core v6.1
    ServiceRequest.specimen.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    ServiceRequest.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.

    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()
    not-done-extension-present error ServiceRequest.code qicore-notDoneValueSet extension does not exist extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()
    prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

     

    Other representations of profile: CSV, Excel, Schematron