FHIR Implementation Guide for NDHM CI Build v2.0
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NDHM (R4), Published and maintained by NRCeS for NHA.
This version is based on the NDHM Health Data Interchange Specifications 1.0 and updated periodically.

StructureDefinition-ServiceRequest

This profile sets minimum expectations for the ServiceRequest resource to searching for and fetching a Organization associated with a patient or provider. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.

Examples

Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: https://nrces.in/ndhm/fhir/r4/StructureDefinition/ServiceRequest

This profile builds on ServiceRequest

Summary

Mandatory: 3 elements (2 nested mandatory elements)
Must-Support: 8 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*ServiceRequestA request for a service to be performed
... text S0..1NarrativeText summary of the resource, for human interpretation
... status S1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
... intent S1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
... code S0..1CodeableConceptWhat is being requested/ordered
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... subject S1..1Reference(Patient)Individual or Entity the service is ordered for
.... reference 1..1stringLiteral reference, Relative, internal or absolute URL
... requester S1..1Reference(Practitioner | PractitionerRole | Organization | Patient)Who/what is requesting service
.... reference 1..1stringLiteral reference, Relative, internal or absolute URL

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest I0..*ServiceRequestA request for a service to be performed
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text SI0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierIdentifiers assigned to this order
... instantiatesCanonical ΣI0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri ΣI0..*uriInstantiates external protocol or definition
... basedOn ΣI0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills
... replaces ΣI0..*Reference(ServiceRequest)What request replaces
... requisition ΣI0..1IdentifierComposite Request ID
... status ?!SΣI1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required)
... intent ?!SΣI1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... category ΣI0..*CodeableConceptClassification of service
Binding: ServiceRequestCategoryCodes (example)
... priority ΣI0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required)
... doNotPerform ?!ΣI0..1booleanTrue if service/procedure should not be performed
... code SΣI0..1CodeableConceptWhat is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... orderDetail ΣI0..*CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example)
... quantity[x] ΣI0..1Service amount
.... quantityQuantityQuantity
.... quantityRatioRatio
.... quantityRangeRange
... subject SΣI1..1Reference(Patient)Individual or Entity the service is ordered for
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI1..1stringLiteral reference, Relative, internal or absolute URL
.... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
.... display ΣI0..1stringText alternative for the resource
... encounter ΣI0..1Reference(Encounter)Encounter in which the request was created
... occurrence[x] ΣI0..1When service should occur
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... asNeeded[x] ΣI0..1Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example)
.... asNeededBooleanboolean
.... asNeededCodeableConceptCodeableConcept
... authoredOn ΣI0..1dateTimeDate request signed
... requester SΣI1..1Reference(Practitioner | PractitionerRole | Organization | Patient)Who/what is requesting service
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI1..1stringLiteral reference, Relative, internal or absolute URL
.... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
.... display ΣI0..1stringText alternative for the resource
... performerType ΣI0..1CodeableConceptPerformer role
Binding: ParticipantRoles (example)
... performer ΣI0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested performer
... locationCode ΣI0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example)
... locationReference ΣI0..*Reference(Location)Requested location
... reasonCode ΣI0..*CodeableConceptExplanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example)
... reasonReference ΣI0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
... insurance I0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... supportingInfo I0..*Reference(Resource)Additional clinical information
... specimen ΣI0..*Reference(Specimen)Procedure Samples
... bodySite ΣI0..*CodeableConceptLocation on Body
Binding: SNOMEDCTBodyStructures (example)
... note I0..*AnnotationComments
... patientInstruction ΣI0..1stringPatient or consumer-oriented instructions
... relevantHistory I0..*Reference(Provenance)Request provenance

doco Documentation for this format

Summary

Mandatory: 3 elements (2 nested mandatory elements)
Must-Support: 8 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*ServiceRequestA request for a service to be performed
... text S0..1NarrativeText summary of the resource, for human interpretation
... status S1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
... intent S1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
... code S0..1CodeableConceptWhat is being requested/ordered
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... subject S1..1Reference(Patient)Individual or Entity the service is ordered for
.... reference 1..1stringLiteral reference, Relative, internal or absolute URL
... requester S1..1Reference(Practitioner | PractitionerRole | Organization | Patient)Who/what is requesting service
.... reference 1..1stringLiteral reference, Relative, internal or absolute URL

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest I0..*ServiceRequestA request for a service to be performed
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text SI0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierIdentifiers assigned to this order
... instantiatesCanonical ΣI0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri ΣI0..*uriInstantiates external protocol or definition
... basedOn ΣI0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills
... replaces ΣI0..*Reference(ServiceRequest)What request replaces
... requisition ΣI0..1IdentifierComposite Request ID
... status ?!SΣI1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required)
... intent ?!SΣI1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... category ΣI0..*CodeableConceptClassification of service
Binding: ServiceRequestCategoryCodes (example)
... priority ΣI0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required)
... doNotPerform ?!ΣI0..1booleanTrue if service/procedure should not be performed
... code SΣI0..1CodeableConceptWhat is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... orderDetail ΣI0..*CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example)
... quantity[x] ΣI0..1Service amount
.... quantityQuantityQuantity
.... quantityRatioRatio
.... quantityRangeRange
... subject SΣI1..1Reference(Patient)Individual or Entity the service is ordered for
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI1..1stringLiteral reference, Relative, internal or absolute URL
.... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
.... display ΣI0..1stringText alternative for the resource
... encounter ΣI0..1Reference(Encounter)Encounter in which the request was created
... occurrence[x] ΣI0..1When service should occur
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... asNeeded[x] ΣI0..1Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example)
.... asNeededBooleanboolean
.... asNeededCodeableConceptCodeableConcept
... authoredOn ΣI0..1dateTimeDate request signed
... requester SΣI1..1Reference(Practitioner | PractitionerRole | Organization | Patient)Who/what is requesting service
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI1..1stringLiteral reference, Relative, internal or absolute URL
.... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
.... display ΣI0..1stringText alternative for the resource
... performerType ΣI0..1CodeableConceptPerformer role
Binding: ParticipantRoles (example)
... performer ΣI0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested performer
... locationCode ΣI0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example)
... locationReference ΣI0..*Reference(Location)Requested location
... reasonCode ΣI0..*CodeableConceptExplanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example)
... reasonReference ΣI0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
... insurance I0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... supportingInfo I0..*Reference(Resource)Additional clinical information
... specimen ΣI0..*Reference(Specimen)Procedure Samples
... bodySite ΣI0..*CodeableConceptLocation on Body
Binding: SNOMEDCTBodyStructures (example)
... note I0..*AnnotationComments
... patientInstruction ΣI0..1stringPatient or consumer-oriented instructions
... relevantHistory I0..*Reference(Provenance)Request provenance

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron