LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions
| Official URL: http://linuxforhealth.org/fhir/cdm/StructureDefinition/cdm-service-request | Version: 8.0.0 | |||
| Active as of 2022-11-10 | Computable Name: CDMServiceRequest | |||
A record of a request for service such as diagnostic investigations, treatments, or operations to be performed. The CDMServiceRequest profile extends the base FHIR ServiceRequest resource with additional details.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ServiceRequest | 0..* | ServiceRequest | A request for a service to be performed | |
  meta | 0..1 | ProcessMeta | Metadata about a resource | |
 contained | 0..0 | |||
 identifier | 1..* | Identifier | Identifiers assigned to this order | |
 type | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Value Set (extensible) | |
| system | 1..1 | uri | The namespace for the identifier value | |
 value | 1..1 | string | The value that is unique | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| ServiceRequest.identifier.type | extensible | IdentifierTypeValueSet |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed |
| meta | 0..1 | ProcessMeta | Metadata about a resource | |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier | Σ | 1..* | Identifier | Identifiers assigned to this order |
 use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Value Set (extensible) |
| system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value | Σ | 1..1 | string | The value that is unique Example General: 123456 |
| status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. |
| intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. |
| doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed |
 subject | Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| ServiceRequest.identifier.use | required | IdentifierUse |
| ServiceRequest.identifier.type | extensible | IdentifierTypeValueSet |
| ServiceRequest.status | required | RequestStatus |
| ServiceRequest.intent | required | RequestIntent |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | 0..1 | ProcessMeta | Metadata about a resource | |||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 1..* | Identifier | Identifiers assigned to this order | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Value Set (extensible) | ||||
| system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | ||||
| replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces | ||||
| requisition | Σ | 0..1 | Identifier | Composite Request ID | ||||
| status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | ||||
| intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | ||||
| category | Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||
| priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed | ||||
| code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here. | ||||
| orderDetail | ΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
 quantity[x] | Σ | 0..1 | Service amount | |||||
| quantityQuantity | Quantity | |||||||
| quantityRatio | Ratio | |||||||
| quantityRange | Range | |||||||
| subject | Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created | ||||
| occurrence[x] | Σ | 0..1 | When service should occur | |||||
| occurrenceDateTime | dateTime | |||||||
| occurrencePeriod | Period | |||||||
| occurrenceTiming | Timing | |||||||
| asNeeded[x] | Σ | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | |||||
| asNeededBoolean | boolean | |||||||
| asNeededCodeableConcept | CodeableConcept | |||||||
| authoredOn | Σ | 0..1 | dateTime | Date request signed | ||||
| requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service | ||||
| performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | ||||
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | ||||
| locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||
| locationReference | Σ | 0..* | Reference(Location) | Requested location | ||||
| reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. | ||||
| reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | ||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo | 0..* | Reference(Resource) | Additional clinical information | |||||
| specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples | ||||
| bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| note | 0..* | Annotation | Comments | |||||
| patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
| relevantHistory | 0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| ServiceRequest.language | preferred | CommonLanguages
| ||||
| ServiceRequest.identifier.use | required | IdentifierUse | ||||
| ServiceRequest.identifier.type | extensible | IdentifierTypeValueSet | ||||
| ServiceRequest.status | required | RequestStatus | ||||
| ServiceRequest.intent | required | RequestIntent | ||||
| ServiceRequest.category | example | ServiceRequestCategoryCodes | ||||
| ServiceRequest.priority | required | RequestPriority | ||||
| ServiceRequest.code | example | ProcedureCodes(SNOMEDCT) | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes | ||||
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes | ||||
| ServiceRequest.performerType | example | ParticipantRoles | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleType | ||||
| ServiceRequest.reasonCode | example | ProcedureReasonCodes | ||||
| ServiceRequest.bodySite | example | SNOMEDCTBodyStructures |
This structure is derived from ServiceRequest
Differential View
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | 0..* | ServiceRequest | A request for a service to be performed | |
| meta | 0..1 | ProcessMeta | Metadata about a resource | |
| contained | 0..0 | |||
| identifier | 1..* | Identifier | Identifiers assigned to this order | |
| type | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Value Set (extensible) | |
| system | 1..1 | uri | The namespace for the identifier value | |
| value | 1..1 | string | The value that is unique | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| ServiceRequest.identifier.type | extensible | IdentifierTypeValueSet |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed |
| meta | 0..1 | ProcessMeta | Metadata about a resource | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 1..* | Identifier | Identifiers assigned to this order |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Value Set (extensible) |
| system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value | Σ | 1..1 | string | The value that is unique Example General: 123456 |
| status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. |
| intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. |
| doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed |
| subject | Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| ServiceRequest.identifier.use | required | IdentifierUse |
| ServiceRequest.identifier.type | extensible | IdentifierTypeValueSet |
| ServiceRequest.status | required | RequestStatus |
| ServiceRequest.intent | required | RequestIntent |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | 0..1 | ProcessMeta | Metadata about a resource | |||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 1..* | Identifier | Identifiers assigned to this order | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Value Set (extensible) | ||||
| system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | ||||
| replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces | ||||
| requisition | Σ | 0..1 | Identifier | Composite Request ID | ||||
| status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | ||||
| intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | ||||
| category | Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||
| priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed | ||||
| code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here. | ||||
| orderDetail | ΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
| quantity[x] | Σ | 0..1 | Service amount | |||||
| quantityQuantity | Quantity | |||||||
| quantityRatio | Ratio | |||||||
| quantityRange | Range | |||||||
| subject | Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created | ||||
| occurrence[x] | Σ | 0..1 | When service should occur | |||||
| occurrenceDateTime | dateTime | |||||||
| occurrencePeriod | Period | |||||||
| occurrenceTiming | Timing | |||||||
| asNeeded[x] | Σ | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | |||||
| asNeededBoolean | boolean | |||||||
| asNeededCodeableConcept | CodeableConcept | |||||||
| authoredOn | Σ | 0..1 | dateTime | Date request signed | ||||
| requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service | ||||
| performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | ||||
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | ||||
| locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||
| locationReference | Σ | 0..* | Reference(Location) | Requested location | ||||
| reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. | ||||
| reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | ||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo | 0..* | Reference(Resource) | Additional clinical information | |||||
| specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples | ||||
| bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| note | 0..* | Annotation | Comments | |||||
| patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
| relevantHistory | 0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| ServiceRequest.language | preferred | CommonLanguages
| ||||
| ServiceRequest.identifier.use | required | IdentifierUse | ||||
| ServiceRequest.identifier.type | extensible | IdentifierTypeValueSet | ||||
| ServiceRequest.status | required | RequestStatus | ||||
| ServiceRequest.intent | required | RequestIntent | ||||
| ServiceRequest.category | example | ServiceRequestCategoryCodes | ||||
| ServiceRequest.priority | required | RequestPriority | ||||
| ServiceRequest.code | example | ProcedureCodes(SNOMEDCT) | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes | ||||
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes | ||||
| ServiceRequest.performerType | example | ParticipantRoles | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleType | ||||
| ServiceRequest.reasonCode | example | ProcedureReasonCodes | ||||
| ServiceRequest.bodySite | example | SNOMEDCTBodyStructures |
This structure is derived from ServiceRequest
Other representations of profile: CSV, Excel, Schematron