Profile Comparison between http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest vs http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/ServiceRequest	http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|6.1.0	Values Differ
copyright
description	This profile contains Required and Must Support data elements for reporting order information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the [HL7 FHIR® R4 ServiceRequest Profile v4.0.1](http://hl7.org/fhir/R4/servicerequest.html).	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](https://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-servicerequest.html) profile and applies capabilities from the QI Core 6.0.0 [ServiceRequest](https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-servicerequest.html) profile and QI Core 6.0.0 [Service Not Requested](https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-servicenotrequested.html) profile.	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	AcuteCareHospitalMonthlyReportingServiceRequest
publisher	CDC National Healthcare Safety Network (NHSN)
purpose
status	active
title	ACH Monthly Event ServiceRequest
type	ServiceRequest
url	http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed	C	0..*	USCoreServiceRequestProfile(6.1.0)	A request for a service to be performed
id	Σ	1..1	id	Logical id of this artifact	SΣ	1..1	id	(NHSN-MS) Logical id of this artifact	Elements differ in definition for mustSupport: 'false' vs 'true'
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing		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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (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	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding	Example/preferred bindings differ at ServiceRequest.language using binding from AcuteCareHospitalMonthlyReportingServiceRequest
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		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		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order	Σ	0..*	Identifier	Identifiers assigned to this order
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID	Σ	0..1	Identifier	Composite Request ID
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of a service order.	?!SΣ	1..1	code	(NHSN-MS)(QI-Core)(USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of a service order.	Elements differ in definition for mustSupport: 'false' vs 'true'
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of service request.	?!SΣ	1..1	code	(NHSN-MS)(USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of service request.	Elements differ in definition for mustSupport: 'false' vs 'true'
category	SΣ	0..*	CodeableConcept	Classification of service Binding: ?? (extensible)	SΣ	0..*	CodeableConcept	(NHSN-MS)(USCDI) Classification of service Slice: Unordered, Open by pattern:$this Binding: ?? (extensible)
priority	SΣ	0..1	code	routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.	SΣ	0..1	code	(NHSN-MS) routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!SΣ	0..1	boolean	True if service/procedure should not be performed	?!SΣ	0..1	boolean	(NHSN-MS)(QI-Core) True if service/procedure should not be performed
code	SΣ	0..1	CodeableConcept	What is being requested/ordered Binding: ?? (extensible)	SΣC	1..1	CodeableConcept	(NHSN-MS)(USCDI) What is being requested/ordered Binding: ?? (extensible) Constraints: not-done-extension-present	Element minimum cardinalities differ: '0' vs '1'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
coding					Σ	0..*	Coding	Code defined by a terminology system	Added this element
text					Σ	0..1	string	Plain text representation of the concept	Added this element
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ?? (example): Codified order entry details which are based on order context.	ΣC	0..*	CodeableConcept	Additional order information Binding: ?? (example): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1	Quantity, Ratio, Range	Service amount	Σ	0..1	Quantity, Ratio, Range	Service amount
subject	Σ	1..1	Reference(Patient | Group | Location | Device)	Individual or Entity the service is ordered for	SΣ	1..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS)(QI-Core)(USCDI) Individual or Entity the service is ordered for	Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		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		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	SΣC	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	0..1	Reference(Encounter)	Encounter in which the request was created	SΣ	0..1	Reference(Encounter) {b}	(NHSN-MS) Encounter in which the request was created
id		0..1	string	Unique id for inter-element referencing		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		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	SΣC	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
occurrence[x]	SΣ	0..1	dateTime, Period, Timing	When service should occur	SΣ	0..1	Period S, dateTime, Timing	(NHSN-MS)(QI-Core)(USCDI) When service should occur
asNeeded[x]	SΣ	0..1	boolean, CodeableConcept	Preconditions for service Binding: ?? (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.	SΣ	0..1	boolean, CodeableConcept	(NHSN-MS) Preconditions for service Binding: ?? (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
authoredOn	Σ	1..1	dateTime	Date request signed	SΣ	1..1	dateTime	(NHSN-MS)(QI-Core)(USCDI) Date request signed	Elements differ in definition for mustSupport: 'false' vs 'true'
requester	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service	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	Elements differ in definition for mustSupport: 'false' vs 'true'
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ?? (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.	Σ	0..1	CodeableConcept	Performer role Binding: ?? (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ?? (example): A location type where services are delivered.	Σ	0..*	CodeableConcept	Requested location Binding: ?? (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location	Σ	0..*	Reference(Location)	Requested location
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ?? (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.	Σ	0..*	CodeableConcept	(QI-Core)(USCDI) Explanation/Justification for procedure or service Binding: ?? (extensible)
reasonReference	SΣ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service	SΣ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	(NHSN-MS)(QI-Core)(USCDI) Explanation/Justification for service or service
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	Σ	0..1	string	Text alternative for the resource					Removed this element
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information		0..*	Reference(Resource)	Additional clinical information
specimen	SΣ	0..*	Reference(Specimen)	Procedure Samples	SΣ	0..*	Reference(ACH Monthly Event Specimen) {b}	(NHSN-MS) Procedure Samples
id		0..1	string	Unique id for inter-element referencing		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		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	SΣC	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: ?? (example): Codes describing anatomical locations. May include laterality.	Σ	0..*	CodeableConcept	Location on Body Binding: ?? (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance		0..*	Reference(Provenance)	Request provenance
Documentation for this format