Bidirectional Services eReferral (BSeR)
2.0.0-ballot - STU2 United States of America flag

Bidirectional Services eReferral (BSeR), published by HL7 Public Health Working Group. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/bser/ and changes regularly. See the Directory of published versions

Resource Profile: Referral Service Request

Official URL: http://hl7.org/fhir/us/bser/StructureDefinition/referral-servicerequest Version: 2.0.0-ballot
Active as of 2024-12-02 Computable Name: ReferralServiceRequest
Other Identifiers: OID:2.16.840.1.113883.4.642.40.33.42.16

This ServiceRequest profile represents a request for a referral.

Usage:

Formal Views of Profile Content

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

This structure is derived from USCoreServiceRequestProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest USCoreServiceRequestProfile
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... pertainsToGoal S 0..* Reference(Goal) Pertains to SDOH goal
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... Slices for identifier S 1..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:type
.... identifier:referralInitiatorServiceRequestIdentifier S 1..1 Identifier Identifiers assigned to this order
..... type S 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PLAC
..... value S 1..1 string The value that is unique
..... assigner S 0..1 Reference(US Core Organization Profile) Organization that issued id (may be just text)
.... identifier:referralRecipientServiceRequestIdentifier S 0..1 Identifier Identifiers assigned to this order
..... type S 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FILL
..... value S 1..1 string The value that is unique
..... assigner S 0..1 Reference(US Core Organization Profile) Organization that issued id (may be just text)
... basedOn S 0..* Reference(Referral Service Request) What request fulfills
... priority S 0..1 code routine | urgent | asap | stat
... code 1..1 CodeableConcept Referral or specific type of referral
... requester 1..1 Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile | Device) Referral Initiator
... performer S 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Referral Recipient
... reasonCode S 0..* CodeableConcept Reason for referral
.... text S 1..1 string set to the reason if there is no code otherwise set this field to the description of the code
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... Slices for insurance S 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
Slice: Unordered, Open by profile:resolve()
.... insurance:insuranceCoverage S 0..* Reference(BSeR Coverage) Associated insurance coverage
... Slices for supportingInfo S 0..* Reference(Resource) Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:consentSupportingInfo S 0..* Reference(Consent) Additional clinical information
.... supportingInfo:bundleSupportingInfo S 0..* Reference(Bundle) Additional clinical information
... note S 0..* Annotation Comments

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... pertainsToGoal S 0..* Reference(Goal) Pertains to SDOH goal
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:referralInitiatorServiceRequestIdentifier SΣ 1..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 SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PLAC
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... assigner SΣ 0..1 Reference(US Core Organization Profile) Organization that issued id (may be just text)
.... identifier:referralRecipientServiceRequestIdentifier SΣ 0..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 SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FILL
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... assigner SΣ 0..1 Reference(US Core Organization Profile) Organization that issued id (may be just text)
... basedOn SΣ 0..* Reference(Referral Service Request) What request fulfills
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.


Fixed Value: order
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:us-core SΣ 0..* CodeableConcept Classification of service
Binding: US Core ServiceRequest Category Codes (required)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept Referral or specific type of referral
Binding: US Core Procedure Codes (extensible)
... subject SΣ 1..1 Reference(US Core Patient Profile) Individual or Entity the service is ordered for
... occurrence[x] SΣ 0..1 When service should occur
.... occurrencePeriod Period
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 1..1 Reference(US Core Practitioner Profile) Referral Initiator
... performer SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Referral Recipient
... reasonCode SΣ 0..* CodeableConcept Reason for referral
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


.... text SΣ 1..1 string set to the reason if there is no code otherwise set this field to the description of the code
... reasonReference SΣ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... Slices for insurance S 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
Slice: Unordered, Open by profile:resolve()
.... insurance:insuranceCoverage S 0..* Reference(BSeR Coverage) Associated insurance coverage
... Slices for supportingInfo S 0..* Reference(Resource) Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:consentSupportingInfo S 0..* Reference(Consent) Additional clinical information
.... supportingInfo:bundleSupportingInfo S 0..* Reference(Bundle) Additional clinical information
... note S 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.identifier:referralInitiatorServiceRequestIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:referralInitiatorServiceRequestIdentifier.typeextensiblePattern: PLAC
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.identifier:referralRecipientServiceRequestIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:referralRecipientServiceRequestIdentifier.typeextensiblePattern: FILL
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeextensibleUSCoreProcedureCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the 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.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... pertainsToGoal S 0..* Reference(Goal) Pertains to SDOH goal
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:type
.... identifier:referralInitiatorServiceRequestIdentifier SΣ 1..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 SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PLAC
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 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 SΣ 0..1 Reference(US Core Organization Profile) Organization that issued id (may be just text)
.... identifier:referralRecipientServiceRequestIdentifier SΣ 0..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 SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FILL
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 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 SΣ 0..1 Reference(US Core Organization Profile) 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 SΣ 0..* Reference(Referral Service Request) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.


Fixed Value: order
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:us-core SΣ 0..* CodeableConcept Classification of service
Binding: US Core ServiceRequest Category Codes (required)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept Referral or specific type of referral
Binding: US Core Procedure Codes (extensible)
... orderDetail ΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(US Core Patient Profile) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] SΣ 0..1 When service should occur
.... occurrencePeriod Period S
.... occurrenceDateTime dateTime
.... 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 SΣ 0..1 dateTime Date request signed
... requester SΣ 1..1 Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile | Device) Referral Initiator
... 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 SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Referral Recipient
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ 0..* Reference(Location) Requested location
... reasonCode SΣ 0..* CodeableConcept Reason for referral
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text SΣ 1..1 string set to the reason if there is no code otherwise set this field to the description of the code
... reasonReference SΣ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... Slices for insurance S 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
Slice: Unordered, Open by profile:resolve()
.... insurance:insuranceCoverage S 0..* Reference(BSeR Coverage) Associated insurance coverage
... Slices for supportingInfo S 0..* Reference(Resource) Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:consentSupportingInfo S 0..* Reference(Consent) Additional clinical information
.... supportingInfo:bundleSupportingInfo S 0..* Reference(Bundle) 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 S 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ServiceRequest.identifier:referralInitiatorServiceRequestIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:referralInitiatorServiceRequestIdentifier.typeextensiblePattern: PLAC
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.identifier:referralRecipientServiceRequestIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:referralRecipientServiceRequestIdentifier.typeextensiblePattern: FILL
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeextensibleUSCoreProcedureCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

This structure is derived from USCoreServiceRequestProfile

Summary

Mandatory: 5 elements(3 nested mandatory elements)
Must-Support: 22 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ServiceRequest.identifier
  • The element 1 is sliced based on the value of ServiceRequest.insurance
  • The element 1 is sliced based on the value of ServiceRequest.supportingInfo

Differential View

This structure is derived from USCoreServiceRequestProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest USCoreServiceRequestProfile
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... pertainsToGoal S 0..* Reference(Goal) Pertains to SDOH goal
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... Slices for identifier S 1..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:type
.... identifier:referralInitiatorServiceRequestIdentifier S 1..1 Identifier Identifiers assigned to this order
..... type S 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PLAC
..... value S 1..1 string The value that is unique
..... assigner S 0..1 Reference(US Core Organization Profile) Organization that issued id (may be just text)
.... identifier:referralRecipientServiceRequestIdentifier S 0..1 Identifier Identifiers assigned to this order
..... type S 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FILL
..... value S 1..1 string The value that is unique
..... assigner S 0..1 Reference(US Core Organization Profile) Organization that issued id (may be just text)
... basedOn S 0..* Reference(Referral Service Request) What request fulfills
... priority S 0..1 code routine | urgent | asap | stat
... code 1..1 CodeableConcept Referral or specific type of referral
... requester 1..1 Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile | Device) Referral Initiator
... performer S 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Referral Recipient
... reasonCode S 0..* CodeableConcept Reason for referral
.... text S 1..1 string set to the reason if there is no code otherwise set this field to the description of the code
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... Slices for insurance S 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
Slice: Unordered, Open by profile:resolve()
.... insurance:insuranceCoverage S 0..* Reference(BSeR Coverage) Associated insurance coverage
... Slices for supportingInfo S 0..* Reference(Resource) Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:consentSupportingInfo S 0..* Reference(Consent) Additional clinical information
.... supportingInfo:bundleSupportingInfo S 0..* Reference(Bundle) Additional clinical information
... note S 0..* Annotation Comments

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... pertainsToGoal S 0..* Reference(Goal) Pertains to SDOH goal
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:referralInitiatorServiceRequestIdentifier SΣ 1..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 SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PLAC
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... assigner SΣ 0..1 Reference(US Core Organization Profile) Organization that issued id (may be just text)
.... identifier:referralRecipientServiceRequestIdentifier SΣ 0..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 SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FILL
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... assigner SΣ 0..1 Reference(US Core Organization Profile) Organization that issued id (may be just text)
... basedOn SΣ 0..* Reference(Referral Service Request) What request fulfills
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.


Fixed Value: order
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:us-core SΣ 0..* CodeableConcept Classification of service
Binding: US Core ServiceRequest Category Codes (required)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept Referral or specific type of referral
Binding: US Core Procedure Codes (extensible)
... subject SΣ 1..1 Reference(US Core Patient Profile) Individual or Entity the service is ordered for
... occurrence[x] SΣ 0..1 When service should occur
.... occurrencePeriod Period
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 1..1 Reference(US Core Practitioner Profile) Referral Initiator
... performer SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Referral Recipient
... reasonCode SΣ 0..* CodeableConcept Reason for referral
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


.... text SΣ 1..1 string set to the reason if there is no code otherwise set this field to the description of the code
... reasonReference SΣ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... Slices for insurance S 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
Slice: Unordered, Open by profile:resolve()
.... insurance:insuranceCoverage S 0..* Reference(BSeR Coverage) Associated insurance coverage
... Slices for supportingInfo S 0..* Reference(Resource) Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:consentSupportingInfo S 0..* Reference(Consent) Additional clinical information
.... supportingInfo:bundleSupportingInfo S 0..* Reference(Bundle) Additional clinical information
... note S 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.identifier:referralInitiatorServiceRequestIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:referralInitiatorServiceRequestIdentifier.typeextensiblePattern: PLAC
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.identifier:referralRecipientServiceRequestIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:referralRecipientServiceRequestIdentifier.typeextensiblePattern: FILL
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeextensibleUSCoreProcedureCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the 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.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... pertainsToGoal S 0..* Reference(Goal) Pertains to SDOH goal
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:type
.... identifier:referralInitiatorServiceRequestIdentifier SΣ 1..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 SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PLAC
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 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 SΣ 0..1 Reference(US Core Organization Profile) Organization that issued id (may be just text)
.... identifier:referralRecipientServiceRequestIdentifier SΣ 0..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 SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: FILL
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 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 SΣ 0..1 Reference(US Core Organization Profile) 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 SΣ 0..* Reference(Referral Service Request) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.


Fixed Value: order
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:us-core SΣ 0..* CodeableConcept Classification of service
Binding: US Core ServiceRequest Category Codes (required)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept Referral or specific type of referral
Binding: US Core Procedure Codes (extensible)
... orderDetail ΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(US Core Patient Profile) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] SΣ 0..1 When service should occur
.... occurrencePeriod Period S
.... occurrenceDateTime dateTime
.... 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 SΣ 0..1 dateTime Date request signed
... requester SΣ 1..1 Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile | Device) Referral Initiator
... 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 SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Referral Recipient
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ 0..* Reference(Location) Requested location
... reasonCode SΣ 0..* CodeableConcept Reason for referral
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text SΣ 1..1 string set to the reason if there is no code otherwise set this field to the description of the code
... reasonReference SΣ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... Slices for insurance S 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
Slice: Unordered, Open by profile:resolve()
.... insurance:insuranceCoverage S 0..* Reference(BSeR Coverage) Associated insurance coverage
... Slices for supportingInfo S 0..* Reference(Resource) Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:consentSupportingInfo S 0..* Reference(Consent) Additional clinical information
.... supportingInfo:bundleSupportingInfo S 0..* Reference(Bundle) 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 S 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ServiceRequest.identifier:referralInitiatorServiceRequestIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:referralInitiatorServiceRequestIdentifier.typeextensiblePattern: PLAC
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.identifier:referralRecipientServiceRequestIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:referralRecipientServiceRequestIdentifier.typeextensiblePattern: FILL
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeextensibleUSCoreProcedureCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

This structure is derived from USCoreServiceRequestProfile

Summary

Mandatory: 5 elements(3 nested mandatory elements)
Must-Support: 22 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ServiceRequest.identifier
  • The element 1 is sliced based on the value of ServiceRequest.insurance
  • The element 1 is sliced based on the value of ServiceRequest.supportingInfo

 

Other representations of profile: CSV, Excel, Schematron