CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
3.0.0 - Release 3 - draft United States of America flag

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v3.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ACH Monthly Event ServiceRequest

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest Version: 3.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: AcuteCareHospitalMonthlyReportingServiceRequest
Other Identifiers: OID:2.16.840.1.113883.4.642.40.1002.42.26

This profile contains Required and Must Support data elements for reporting service request (order) information to the NHSN Acute Care Hospital (ACH) Monthly 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.

    Name Flags Card. Type Description & Constraints    Filter: doco
    ServiceRequest C 0..* USCoreServiceRequestProfile(6.1.0) A request for a service to be performed
    Constraints: prr-1
    ServiceRequest.id This element must be supported. This element is included in summaries. 1..1 id
    (NHSN-MS)
    Logical id of this artifact
    ServiceRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    ServiceRequest.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    ServiceRequest.Slices for extension.extension:reasonRefused This element must be supported. 0..1 (Complex)
    (NHSN-MS)
    Extension
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
    ServiceRequest.Slices for extension.extension:reasonRefused.extension 0..0 Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    ServiceRequest.Slices for extension.extension:reasonRefused.url This element must be supported. 1..1 uri "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason"
    ServiceRequest.Slices for extension.extension:reasonRefused.value[x] This element must be supported. 0..1 CodeableConcept
    (NHSN-MS)
    Extension
    Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
    ServiceRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    ServiceRequest.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code
    (NHSN-MS)
    (QI-Core)(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): The status of a service order.
    ServiceRequest.intent This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code
    (NHSN-MS)
    (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of service request.
    ServiceRequest.Slices for category This element must be supported. This element is included in summaries. 0..* CodeableConcept
    (NHSN-MS)
    (QI-Core)(USCDI) Classification of service or procedure
    Slice: Unordered, Open by pattern:$this
    Binding: Service Request Category ValueSet (required)

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    ServiceRequest.Slices for category.category:us-core This element must be supported. This element is included in summaries. 0..* CodeableConcept
    (NHSN-MS)
    (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
    ServiceRequest.priority This element must be supported. This element is included in summaries. 0..1 code
    (NHSN-MS)
    routine | urgent | asap | stat
    Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
    ServiceRequest.doNotPerform This element is a modifier element. This element must be supported. This element is included in summaries. 0..1 boolean
    (NHSN-MS)
    (QI-Core) True if service/procedure should not be performed
    ServiceRequest.code This element must be supported. This element is included in summaries. C 1..1 CodeableConcept
    (NHSN-MS)
    (USCDI) What is being requested/ordered
    Binding: USCoreProcedureCodes (6.1.0) (extensible)
    Constraints: not-done-extension-present
    ServiceRequest.code.Slices for extension Content/Rules for all slices
    ServiceRequest.code.Slices for extension.extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not requested
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    ServiceRequest.subject This element must be supported. This element is included in summaries. 1..1 Reference(Cross-Measure Patient Profile) {b}
    (NHSN-MS)
    (QI-Core)(USCDI) Individual or Entity the service is ordered for
    ServiceRequest.subject.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    ServiceRequest.encounter This element must be supported. This element is included in summaries. 0..1 Reference(Encounter) {b}
    (NHSN-MS)
    Encounter in which the request was created
    ServiceRequest.encounter.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    ServiceRequest.occurrence[x] This element must be supported. This element is included in summaries. 0..1
    (NHSN-MS)
    (QI-Core)(USCDI) When service should occur
    ServiceRequest.occurrence[x].occurrencePeriod Period This type must be supported.
    ServiceRequest.occurrence[x].occurrenceDateTime dateTime
    ServiceRequest.occurrence[x].occurrenceTiming Timing
    ServiceRequest.asNeeded[x] This element must be supported. This element is included in summaries. 0..1
    (NHSN-MS)
    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.
    ServiceRequest.asNeeded[x].asNeededBoolean boolean
    ServiceRequest.asNeeded[x].asNeededCodeableConcept CodeableConcept
    ServiceRequest.authoredOn This element must be supported. This element is included in summaries. 1..1 dateTime
    (NHSN-MS)
    (QI-Core)(USCDI) Date request signed
    ServiceRequest.requester This element must be supported. This element is included in summaries. 0..1 Reference(US Core Practitioner Profile(6.1.0) This type must be supported. | 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
    ServiceRequest.reasonCode This element is included in summaries. 0..* CodeableConcept (QI-Core)(USCDI) Explanation/Justification for procedure or service
    Binding: USCoreConditionCodes (6.1.0) (extensible)
    ServiceRequest.reasonReference This element must be supported. This element is included in summaries. 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference)
    (NHSN-MS)
    (QI-Core)(USCDI) Explanation/Justification for service or service
    ServiceRequest.specimen This element must be supported. This element is included in summaries. 0..* Reference(ACH Monthly Event Specimen) {b}
    (NHSN-MS)
    Procedure Samples
    ServiceRequest.specimen.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    ServiceRequest.extension:reasonRefused.​value[x] Base extensible QICore Negation Reason Codes 📦6.0.0 QI-Core Implementation Guide v6.0
    ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
    ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
    ServiceRequest.category Base required Service Request Category ValueSet 📦3.0.0 This IG
    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 US Core Procedure Codes 📍6.1.0 US Core v6.1
    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

    Name Flags Card. Type Description & Constraints    Filter: doco
    ServiceRequest 0..* USCoreServiceRequestProfile(6.1.0) A request for a service to be performed
    ServiceRequest.id This element must be supported. 1..1 id
    (NHSN-MS)
    Logical id of this artifact
    ServiceRequest.meta
    ServiceRequest.meta.Slices for extension Content/Rules for all slices
    ServiceRequest.meta.Slices for extension.extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ServiceRequest.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    ServiceRequest.Slices for extension.extension:reasonRefused This element must be supported. 0..1 (Complex)
    (NHSN-MS)
    Extension
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
    ServiceRequest.Slices for extension.extension:reasonRefused.extension 0..0 Extension
    ServiceRequest.Slices for extension.extension:reasonRefused.url This element must be supported. 1..1 uri
    (NHSN-MS)
    Extension url
    ServiceRequest.Slices for extension.extension:reasonRefused.value[x] This element must be supported. 0..1 CodeableConcept
    (NHSN-MS)
    Extension
    ServiceRequest.intent 1..1 code (NHSN-MS)(USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    ServiceRequest.category 0..* CodeableConcept (NHSN-MS)(QI-Core)(USCDI) Classification of service or procedure
    Binding: Service Request Category ValueSet (required)
    ServiceRequest.Slices for category Content/Rules for all slices
    ServiceRequest.Slices for category.category:us-core 0..* CodeableConcept (NHSN-MS)(USCDI) Classification of service
    ServiceRequest.priority This element must be supported. 0..1 code
    (NHSN-MS)
    routine | urgent | asap | stat
    ServiceRequest.doNotPerform This element must be supported. 0..1 boolean
    (NHSN-MS)
    (QI-Core) True if service/procedure should not be performed
    ServiceRequest.code C 1..1 CodeableConcept (NHSN-MS)(USCDI) What is being requested/ordered
    Constraints: not-done-extension-present
    ServiceRequest.code.Slices for extension Content/Rules for all slices
    ServiceRequest.code.Slices for extension.extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not requested
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    ServiceRequest.subject 1..1 Reference(Cross-Measure Patient Profile) {b} (NHSN-MS)(QI-Core)(USCDI) Individual or Entity the service is ordered for
    ServiceRequest.subject.reference This element must be supported. 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    ServiceRequest.encounter This element must be supported. 0..1 Reference(Encounter) {b}
    (NHSN-MS)
    Encounter in which the request was created
    ServiceRequest.encounter.reference This element must be supported. 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    ServiceRequest.occurrence[x] 0..1 Period, dateTime, Timing (NHSN-MS)(QI-Core)(USCDI) When service should occur
    ServiceRequest.asNeeded[x] This element must be supported. 0..1 boolean, CodeableConcept
    (NHSN-MS)
    Preconditions for service
    ServiceRequest.authoredOn 1..1 dateTime (NHSN-MS)(QI-Core)(USCDI) Date request signed
    ServiceRequest.reasonCode 0..* CodeableConcept (QI-Core)(USCDI) Explanation/Justification for procedure or service
    ServiceRequest.reasonReference This element must be supported. 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference)
    (NHSN-MS)
    (QI-Core)(USCDI) Explanation/Justification for service or service
    ServiceRequest.specimen This element must be supported. 0..* Reference(ACH Monthly Event Specimen) {b}
    (NHSN-MS)
    Procedure Samples
    ServiceRequest.specimen.reference This element must be supported. 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    ServiceRequest.category Base required Service Request Category ValueSet 📦3.0.0 This IG

    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()
    Name Flags Card. Type Description & Constraints    Filter: doco
    ServiceRequest C 0..* USCoreServiceRequestProfile(6.1.0) A request for a service to be performed
    Constraints: prr-1
    ServiceRequest.id This element must be supported. This element is included in summaries. 1..1 id
    (NHSN-MS)
    Logical id of this artifact
    ServiceRequest.meta This element is included in summaries. 0..1 Meta Metadata about the resource
    ServiceRequest.meta.id 0..1 string Unique id for inter-element referencing
    ServiceRequest.meta.Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ServiceRequest.meta.Slices for extension.extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ServiceRequest.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
    ServiceRequest.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
    ServiceRequest.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
    ServiceRequest.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    ServiceRequest.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
    ServiceRequest.meta.tag This element is included in summaries. 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".
    ServiceRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    ServiceRequest.language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional Bindings Purpose
    AllLanguages Max Binding
    ServiceRequest.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
    ServiceRequest.contained 0..* Resource Contained, inline Resources
    ServiceRequest.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    ServiceRequest.Slices for extension.extension:reasonRefused This element must be supported. 0..1 (Complex)
    (NHSN-MS)
    Extension
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
    ServiceRequest.Slices for extension.extension:reasonRefused.id 0..1 string Unique id for inter-element referencing
    ServiceRequest.Slices for extension.extension:reasonRefused.extension 0..0 Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    ServiceRequest.Slices for extension.extension:reasonRefused.url This element must be supported. 1..1 uri "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason"
    ServiceRequest.Slices for extension.extension:reasonRefused.value[x] This element must be supported. 0..1 CodeableConcept
    (NHSN-MS)
    Extension
    Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
    ServiceRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    ServiceRequest.identifier This element is included in summaries. 0..* Identifier Identifiers assigned to this order
    ServiceRequest.instantiatesCanonical This element is included in summaries. 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
    ServiceRequest.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
    ServiceRequest.basedOn This element is included in summaries. 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
    ServiceRequest.replaces This element is included in summaries. 0..* Reference(ServiceRequest) What request replaces
    ServiceRequest.requisition This element is included in summaries. 0..1 Identifier Composite Request ID
    ServiceRequest.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code
    (NHSN-MS)
    (QI-Core)(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): The status of a service order.
    ServiceRequest.intent This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code
    (NHSN-MS)
    (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of service request.
    ServiceRequest.Slices for category This element must be supported. This element is included in summaries. 0..* CodeableConcept
    (NHSN-MS)
    (QI-Core)(USCDI) Classification of service or procedure
    Slice: Unordered, Open by pattern:$this
    Binding: Service Request Category ValueSet (required)

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    ServiceRequest.Slices for category.category:us-core This element must be supported. This element is included in summaries. 0..* CodeableConcept
    (NHSN-MS)
    (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
    ServiceRequest.priority This element must be supported. This element is included in summaries. 0..1 code
    (NHSN-MS)
    routine | urgent | asap | stat
    Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
    ServiceRequest.doNotPerform This element is a modifier element. This element must be supported. This element is included in summaries. 0..1 boolean
    (NHSN-MS)
    (QI-Core) True if service/procedure should not be performed
    ServiceRequest.code This element must be supported. This element is included in summaries. C 1..1 CodeableConcept
    (NHSN-MS)
    (USCDI) What is being requested/ordered
    Binding: USCoreProcedureCodes (6.1.0) (extensible)
    Constraints: not-done-extension-present
    ServiceRequest.code.id 0..1 string Unique id for inter-element referencing
    ServiceRequest.code.Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ServiceRequest.code.Slices for extension.extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not requested
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    ServiceRequest.code.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
    ServiceRequest.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
    ServiceRequest.orderDetail This element is included in summaries. C 0..* CodeableConcept Additional order information
    Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
    ServiceRequest.quantity[x] This element is included in summaries. 0..1 Service amount
    ServiceRequest.quantity[x].quantityQuantity Quantity
    ServiceRequest.quantity[x].quantityRatio Ratio
    ServiceRequest.quantity[x].quantityRange Range
    ServiceRequest.subject This element must be supported. This element is included in summaries. 1..1 Reference(Cross-Measure Patient Profile) {b}
    (NHSN-MS)
    (QI-Core)(USCDI) Individual or Entity the service is ordered for
    ServiceRequest.subject.id 0..1 string Unique id for inter-element referencing
    ServiceRequest.subject.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ServiceRequest.subject.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    ServiceRequest.subject.type This element is included in summaries. 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).
    ServiceRequest.subject.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
    ServiceRequest.subject.display This element is included in summaries. 0..1 string Text alternative for the resource
    ServiceRequest.encounter This element must be supported. This element is included in summaries. 0..1 Reference(Encounter) {b}
    (NHSN-MS)
    Encounter in which the request was created
    ServiceRequest.encounter.id 0..1 string Unique id for inter-element referencing
    ServiceRequest.encounter.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ServiceRequest.encounter.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    ServiceRequest.encounter.type This element is included in summaries. 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).
    ServiceRequest.encounter.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
    ServiceRequest.encounter.display This element is included in summaries. 0..1 string Text alternative for the resource
    ServiceRequest.occurrence[x] This element must be supported. This element is included in summaries. 0..1
    (NHSN-MS)
    (QI-Core)(USCDI) When service should occur
    ServiceRequest.occurrence[x].occurrencePeriod Period This type must be supported.
    ServiceRequest.occurrence[x].occurrenceDateTime dateTime
    ServiceRequest.occurrence[x].occurrenceTiming Timing
    ServiceRequest.asNeeded[x] This element must be supported. This element is included in summaries. 0..1
    (NHSN-MS)
    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.
    ServiceRequest.asNeeded[x].asNeededBoolean boolean
    ServiceRequest.asNeeded[x].asNeededCodeableConcept CodeableConcept
    ServiceRequest.authoredOn This element must be supported. This element is included in summaries. 1..1 dateTime
    (NHSN-MS)
    (QI-Core)(USCDI) Date request signed
    ServiceRequest.requester This element must be supported. This element is included in summaries. 0..1 Reference(US Core Practitioner Profile(6.1.0) This type must be supported. | 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
    ServiceRequest.performerType This element is included in summaries. 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.
    ServiceRequest.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
    ServiceRequest.locationCode This element is included in summaries. 0..* CodeableConcept Requested location
    Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
    ServiceRequest.locationReference This element is included in summaries. 0..* Reference(Location) Requested location
    ServiceRequest.reasonCode This element is included in summaries. 0..* CodeableConcept (QI-Core)(USCDI) Explanation/Justification for procedure or service
    Binding: USCoreConditionCodes (6.1.0) (extensible)
    ServiceRequest.reasonReference This element must be supported. This element is included in summaries. 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference)
    (NHSN-MS)
    (QI-Core)(USCDI) Explanation/Justification for service or service
    ServiceRequest.insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
    ServiceRequest.supportingInfo 0..* Reference(Resource) Additional clinical information
    ServiceRequest.specimen This element must be supported. This element is included in summaries. 0..* Reference(ACH Monthly Event Specimen) {b}
    (NHSN-MS)
    Procedure Samples
    ServiceRequest.specimen.id 0..1 string Unique id for inter-element referencing
    ServiceRequest.specimen.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ServiceRequest.specimen.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    ServiceRequest.specimen.type This element is included in summaries. 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).
    ServiceRequest.specimen.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
    ServiceRequest.specimen.display This element is included in summaries. 0..1 string Text alternative for the resource
    ServiceRequest.bodySite This element is included in summaries. 0..* CodeableConcept Location on Body
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
    ServiceRequest.note 0..* Annotation Comments
    ServiceRequest.patientInstruction This element is included in summaries. 0..1 string Patient or consumer-oriented instructions
    ServiceRequest.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.extension:reasonRefused.​value[x] Base extensible QICore Negation Reason Codes 📦6.0.0 QI-Core Implementation Guide v6.0
    ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
    ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
    ServiceRequest.category Base required Service Request Category ValueSet 📦3.0.0 This IG
    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 US Core Procedure Codes 📍6.1.0 US Core v6.1
    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 v7.1
    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

    Name Flags Card. Type Description & Constraints    Filter: doco
    ServiceRequest C 0..* USCoreServiceRequestProfile(6.1.0) A request for a service to be performed
    Constraints: prr-1
    ServiceRequest.id This element must be supported. This element is included in summaries. 1..1 id
    (NHSN-MS)
    Logical id of this artifact
    ServiceRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    ServiceRequest.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    ServiceRequest.Slices for extension.extension:reasonRefused This element must be supported. 0..1 (Complex)
    (NHSN-MS)
    Extension
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
    ServiceRequest.Slices for extension.extension:reasonRefused.extension 0..0 Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    ServiceRequest.Slices for extension.extension:reasonRefused.url This element must be supported. 1..1 uri "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason"
    ServiceRequest.Slices for extension.extension:reasonRefused.value[x] This element must be supported. 0..1 CodeableConcept
    (NHSN-MS)
    Extension
    Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
    ServiceRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    ServiceRequest.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code
    (NHSN-MS)
    (QI-Core)(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): The status of a service order.
    ServiceRequest.intent This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code
    (NHSN-MS)
    (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of service request.
    ServiceRequest.Slices for category This element must be supported. This element is included in summaries. 0..* CodeableConcept
    (NHSN-MS)
    (QI-Core)(USCDI) Classification of service or procedure
    Slice: Unordered, Open by pattern:$this
    Binding: Service Request Category ValueSet (required)

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    ServiceRequest.Slices for category.category:us-core This element must be supported. This element is included in summaries. 0..* CodeableConcept
    (NHSN-MS)
    (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
    ServiceRequest.priority This element must be supported. This element is included in summaries. 0..1 code
    (NHSN-MS)
    routine | urgent | asap | stat
    Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
    ServiceRequest.doNotPerform This element is a modifier element. This element must be supported. This element is included in summaries. 0..1 boolean
    (NHSN-MS)
    (QI-Core) True if service/procedure should not be performed
    ServiceRequest.code This element must be supported. This element is included in summaries. C 1..1 CodeableConcept
    (NHSN-MS)
    (USCDI) What is being requested/ordered
    Binding: USCoreProcedureCodes (6.1.0) (extensible)
    Constraints: not-done-extension-present
    ServiceRequest.code.Slices for extension Content/Rules for all slices
    ServiceRequest.code.Slices for extension.extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not requested
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    ServiceRequest.subject This element must be supported. This element is included in summaries. 1..1 Reference(Cross-Measure Patient Profile) {b}
    (NHSN-MS)
    (QI-Core)(USCDI) Individual or Entity the service is ordered for
    ServiceRequest.subject.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    ServiceRequest.encounter This element must be supported. This element is included in summaries. 0..1 Reference(Encounter) {b}
    (NHSN-MS)
    Encounter in which the request was created
    ServiceRequest.encounter.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    ServiceRequest.occurrence[x] This element must be supported. This element is included in summaries. 0..1
    (NHSN-MS)
    (QI-Core)(USCDI) When service should occur
    ServiceRequest.occurrence[x].occurrencePeriod Period This type must be supported.
    ServiceRequest.occurrence[x].occurrenceDateTime dateTime
    ServiceRequest.occurrence[x].occurrenceTiming Timing
    ServiceRequest.asNeeded[x] This element must be supported. This element is included in summaries. 0..1
    (NHSN-MS)
    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.
    ServiceRequest.asNeeded[x].asNeededBoolean boolean
    ServiceRequest.asNeeded[x].asNeededCodeableConcept CodeableConcept
    ServiceRequest.authoredOn This element must be supported. This element is included in summaries. 1..1 dateTime
    (NHSN-MS)
    (QI-Core)(USCDI) Date request signed
    ServiceRequest.requester This element must be supported. This element is included in summaries. 0..1 Reference(US Core Practitioner Profile(6.1.0) This type must be supported. | 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
    ServiceRequest.reasonCode This element is included in summaries. 0..* CodeableConcept (QI-Core)(USCDI) Explanation/Justification for procedure or service
    Binding: USCoreConditionCodes (6.1.0) (extensible)
    ServiceRequest.reasonReference This element must be supported. This element is included in summaries. 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference)
    (NHSN-MS)
    (QI-Core)(USCDI) Explanation/Justification for service or service
    ServiceRequest.specimen This element must be supported. This element is included in summaries. 0..* Reference(ACH Monthly Event Specimen) {b}
    (NHSN-MS)
    Procedure Samples
    ServiceRequest.specimen.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    ServiceRequest.extension:reasonRefused.​value[x] Base extensible QICore Negation Reason Codes 📦6.0.0 QI-Core Implementation Guide v6.0
    ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
    ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
    ServiceRequest.category Base required Service Request Category ValueSet 📦3.0.0 This IG
    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 US Core Procedure Codes 📍6.1.0 US Core v6.1
    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

    Name Flags Card. Type Description & Constraints    Filter: doco
    ServiceRequest 0..* USCoreServiceRequestProfile(6.1.0) A request for a service to be performed
    ServiceRequest.id This element must be supported. 1..1 id
    (NHSN-MS)
    Logical id of this artifact
    ServiceRequest.meta
    ServiceRequest.meta.Slices for extension Content/Rules for all slices
    ServiceRequest.meta.Slices for extension.extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ServiceRequest.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    ServiceRequest.Slices for extension.extension:reasonRefused This element must be supported. 0..1 (Complex)
    (NHSN-MS)
    Extension
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
    ServiceRequest.Slices for extension.extension:reasonRefused.extension 0..0 Extension
    ServiceRequest.Slices for extension.extension:reasonRefused.url This element must be supported. 1..1 uri
    (NHSN-MS)
    Extension url
    ServiceRequest.Slices for extension.extension:reasonRefused.value[x] This element must be supported. 0..1 CodeableConcept
    (NHSN-MS)
    Extension
    ServiceRequest.status 1..1 code (NHSN-MS)(QI-Core)(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
    ServiceRequest.intent 1..1 code (NHSN-MS)(USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    ServiceRequest.category 0..* CodeableConcept (NHSN-MS)(QI-Core)(USCDI) Classification of service or procedure
    Binding: Service Request Category ValueSet (required)
    ServiceRequest.Slices for category Content/Rules for all slices
    ServiceRequest.Slices for category.category:us-core 0..* CodeableConcept (NHSN-MS)(USCDI) Classification of service
    ServiceRequest.priority This element must be supported. 0..1 code
    (NHSN-MS)
    routine | urgent | asap | stat
    ServiceRequest.doNotPerform This element must be supported. 0..1 boolean
    (NHSN-MS)
    (QI-Core) True if service/procedure should not be performed
    ServiceRequest.code C 1..1 CodeableConcept (NHSN-MS)(USCDI) What is being requested/ordered
    Constraints: not-done-extension-present
    ServiceRequest.code.Slices for extension Content/Rules for all slices
    ServiceRequest.code.Slices for extension.extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not requested
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    ServiceRequest.subject 1..1 Reference(Cross-Measure Patient Profile) {b} (NHSN-MS)(QI-Core)(USCDI) Individual or Entity the service is ordered for
    ServiceRequest.subject.reference This element must be supported. 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    ServiceRequest.encounter This element must be supported. 0..1 Reference(Encounter) {b}
    (NHSN-MS)
    Encounter in which the request was created
    ServiceRequest.encounter.reference This element must be supported. 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    ServiceRequest.occurrence[x] 0..1 Period, dateTime, Timing (NHSN-MS)(QI-Core)(USCDI) When service should occur
    ServiceRequest.asNeeded[x] This element must be supported. 0..1 boolean, CodeableConcept
    (NHSN-MS)
    Preconditions for service
    ServiceRequest.authoredOn 1..1 dateTime (NHSN-MS)(QI-Core)(USCDI) Date request signed
    ServiceRequest.reasonCode 0..* CodeableConcept (QI-Core)(USCDI) Explanation/Justification for procedure or service
    ServiceRequest.reasonReference This element must be supported. 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference)
    (NHSN-MS)
    (QI-Core)(USCDI) Explanation/Justification for service or service
    ServiceRequest.specimen This element must be supported. 0..* Reference(ACH Monthly Event Specimen) {b}
    (NHSN-MS)
    Procedure Samples
    ServiceRequest.specimen.reference This element must be supported. 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    ServiceRequest.category Base required Service Request Category ValueSet 📦3.0.0 This IG

    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

    Name Flags Card. Type Description & Constraints    Filter: doco
    ServiceRequest C 0..* USCoreServiceRequestProfile(6.1.0) A request for a service to be performed
    Constraints: prr-1
    ServiceRequest.id This element must be supported. This element is included in summaries. 1..1 id
    (NHSN-MS)
    Logical id of this artifact
    ServiceRequest.meta This element is included in summaries. 0..1 Meta Metadata about the resource
    ServiceRequest.meta.id 0..1 string Unique id for inter-element referencing
    ServiceRequest.meta.Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ServiceRequest.meta.Slices for extension.extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ServiceRequest.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
    ServiceRequest.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
    ServiceRequest.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
    ServiceRequest.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    ServiceRequest.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
    ServiceRequest.meta.tag This element is included in summaries. 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".
    ServiceRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
    ServiceRequest.language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional Bindings Purpose
    AllLanguages Max Binding
    ServiceRequest.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
    ServiceRequest.contained 0..* Resource Contained, inline Resources
    ServiceRequest.Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    ServiceRequest.Slices for extension.extension:reasonRefused This element must be supported. 0..1 (Complex)
    (NHSN-MS)
    Extension
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
    ServiceRequest.Slices for extension.extension:reasonRefused.id 0..1 string Unique id for inter-element referencing
    ServiceRequest.Slices for extension.extension:reasonRefused.extension 0..0 Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    ServiceRequest.Slices for extension.extension:reasonRefused.url This element must be supported. 1..1 uri "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason"
    ServiceRequest.Slices for extension.extension:reasonRefused.value[x] This element must be supported. 0..1 CodeableConcept
    (NHSN-MS)
    Extension
    Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
    ServiceRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
    ServiceRequest.identifier This element is included in summaries. 0..* Identifier Identifiers assigned to this order
    ServiceRequest.instantiatesCanonical This element is included in summaries. 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
    ServiceRequest.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
    ServiceRequest.basedOn This element is included in summaries. 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
    ServiceRequest.replaces This element is included in summaries. 0..* Reference(ServiceRequest) What request replaces
    ServiceRequest.requisition This element is included in summaries. 0..1 Identifier Composite Request ID
    ServiceRequest.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code
    (NHSN-MS)
    (QI-Core)(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): The status of a service order.
    ServiceRequest.intent This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code
    (NHSN-MS)
    (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of service request.
    ServiceRequest.Slices for category This element must be supported. This element is included in summaries. 0..* CodeableConcept
    (NHSN-MS)
    (QI-Core)(USCDI) Classification of service or procedure
    Slice: Unordered, Open by pattern:$this
    Binding: Service Request Category ValueSet (required)

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    ServiceRequest.Slices for category.category:us-core This element must be supported. This element is included in summaries. 0..* CodeableConcept
    (NHSN-MS)
    (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
    ServiceRequest.priority This element must be supported. This element is included in summaries. 0..1 code
    (NHSN-MS)
    routine | urgent | asap | stat
    Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
    ServiceRequest.doNotPerform This element is a modifier element. This element must be supported. This element is included in summaries. 0..1 boolean
    (NHSN-MS)
    (QI-Core) True if service/procedure should not be performed
    ServiceRequest.code This element must be supported. This element is included in summaries. C 1..1 CodeableConcept
    (NHSN-MS)
    (USCDI) What is being requested/ordered
    Binding: USCoreProcedureCodes (6.1.0) (extensible)
    Constraints: not-done-extension-present
    ServiceRequest.code.id 0..1 string Unique id for inter-element referencing
    ServiceRequest.code.Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ServiceRequest.code.Slices for extension.extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not requested
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    ServiceRequest.code.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
    ServiceRequest.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
    ServiceRequest.orderDetail This element is included in summaries. C 0..* CodeableConcept Additional order information
    Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
    ServiceRequest.quantity[x] This element is included in summaries. 0..1 Service amount
    ServiceRequest.quantity[x].quantityQuantity Quantity
    ServiceRequest.quantity[x].quantityRatio Ratio
    ServiceRequest.quantity[x].quantityRange Range
    ServiceRequest.subject This element must be supported. This element is included in summaries. 1..1 Reference(Cross-Measure Patient Profile) {b}
    (NHSN-MS)
    (QI-Core)(USCDI) Individual or Entity the service is ordered for
    ServiceRequest.subject.id 0..1 string Unique id for inter-element referencing
    ServiceRequest.subject.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ServiceRequest.subject.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    ServiceRequest.subject.type This element is included in summaries. 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).
    ServiceRequest.subject.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
    ServiceRequest.subject.display This element is included in summaries. 0..1 string Text alternative for the resource
    ServiceRequest.encounter This element must be supported. This element is included in summaries. 0..1 Reference(Encounter) {b}
    (NHSN-MS)
    Encounter in which the request was created
    ServiceRequest.encounter.id 0..1 string Unique id for inter-element referencing
    ServiceRequest.encounter.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ServiceRequest.encounter.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    ServiceRequest.encounter.type This element is included in summaries. 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).
    ServiceRequest.encounter.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
    ServiceRequest.encounter.display This element is included in summaries. 0..1 string Text alternative for the resource
    ServiceRequest.occurrence[x] This element must be supported. This element is included in summaries. 0..1
    (NHSN-MS)
    (QI-Core)(USCDI) When service should occur
    ServiceRequest.occurrence[x].occurrencePeriod Period This type must be supported.
    ServiceRequest.occurrence[x].occurrenceDateTime dateTime
    ServiceRequest.occurrence[x].occurrenceTiming Timing
    ServiceRequest.asNeeded[x] This element must be supported. This element is included in summaries. 0..1
    (NHSN-MS)
    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.
    ServiceRequest.asNeeded[x].asNeededBoolean boolean
    ServiceRequest.asNeeded[x].asNeededCodeableConcept CodeableConcept
    ServiceRequest.authoredOn This element must be supported. This element is included in summaries. 1..1 dateTime
    (NHSN-MS)
    (QI-Core)(USCDI) Date request signed
    ServiceRequest.requester This element must be supported. This element is included in summaries. 0..1 Reference(US Core Practitioner Profile(6.1.0) This type must be supported. | 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
    ServiceRequest.performerType This element is included in summaries. 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.
    ServiceRequest.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
    ServiceRequest.locationCode This element is included in summaries. 0..* CodeableConcept Requested location
    Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
    ServiceRequest.locationReference This element is included in summaries. 0..* Reference(Location) Requested location
    ServiceRequest.reasonCode This element is included in summaries. 0..* CodeableConcept (QI-Core)(USCDI) Explanation/Justification for procedure or service
    Binding: USCoreConditionCodes (6.1.0) (extensible)
    ServiceRequest.reasonReference This element must be supported. This element is included in summaries. 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference)
    (NHSN-MS)
    (QI-Core)(USCDI) Explanation/Justification for service or service
    ServiceRequest.insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
    ServiceRequest.supportingInfo 0..* Reference(Resource) Additional clinical information
    ServiceRequest.specimen This element must be supported. This element is included in summaries. 0..* Reference(ACH Monthly Event Specimen) {b}
    (NHSN-MS)
    Procedure Samples
    ServiceRequest.specimen.id 0..1 string Unique id for inter-element referencing
    ServiceRequest.specimen.extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ServiceRequest.specimen.reference This element must be supported. This element is included in summaries. C 1..1 string
    (NHSN-MS)
    Literal reference, Relative, internal or absolute URL
    ServiceRequest.specimen.type This element is included in summaries. 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).
    ServiceRequest.specimen.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
    ServiceRequest.specimen.display This element is included in summaries. 0..1 string Text alternative for the resource
    ServiceRequest.bodySite This element is included in summaries. 0..* CodeableConcept Location on Body
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
    ServiceRequest.note 0..* Annotation Comments
    ServiceRequest.patientInstruction This element is included in summaries. 0..1 string Patient or consumer-oriented instructions
    ServiceRequest.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.extension:reasonRefused.​value[x] Base extensible QICore Negation Reason Codes 📦6.0.0 QI-Core Implementation Guide v6.0
    ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
    ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
    ServiceRequest.category Base required Service Request Category ValueSet 📦3.0.0 This IG
    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 US Core Procedure Codes 📍6.1.0 US Core v6.1
    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 v7.1
    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()

     

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