## Profile Comparison between http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-service-request vs http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-service-request

Left: | US Pathology Service Request (http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-service-request)
Right: | US Pathology Service Request (http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-service-request)

### Messages

Error | StructureDefinition.version | Values for version differ: '2.0.0-ballot' vs '2.0.0'
Information | StructureDefinition.date | Values for date differ: '2025-03-31T19:51:27+00:00' vs '2025-10-02T18:42:32+00:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Orders and Observations and College of American Pathologists' vs 'HL7 International / Orders and Observations'
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|6.1.0'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest | http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|6.1.0 | Values Differ
copyright |  |
date | 2025-03-31T19:51:27+00:00 | 2025-10-02T18:42:32+00:00 | Values Differ
description | This ServiceRequest profile represents the request for analysis of a pathological sample. |
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USPathologyServiceRequest |
publisher | HL7 International / Orders and Observations and College of American Pathologists | HL7 International / Orders and Observations | Values Differ
purpose |  |
status | active |
title | US Pathology Service Request |
type | ServiceRequest |
url | http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-service-request |
version | 2.0.0-ballot | 2.0.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
ServiceRequest | S C | 0..* | USCoreServiceRequestProfile | Cancer Pathology ServiceRequest | S C | 0..* | USCoreServiceRequestProfile(6.1.0) | Cancer Pathology ServiceRequest |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
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
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 | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | S Σ | 0..* | Identifier | Identifiers assigned to this order | S 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 | S Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | S 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 | ?!S Σ | 1..1 | code | (USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of a service order. | ?!S Σ | 1..1 | code | (USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of a service order. |
intent | ?!S Σ | 1..1 | code | (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of service request. | ?!S Σ | 1..1 | code | (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of service request. |
Slices for category | S Σ | 0..* | CodeableConcept | (USCDI) Classification of service Slice: Unordered, Open by pattern:$this Binding: ?? (example): Classification of the requested service. | S Σ | 0..* | CodeableConcept | (USCDI) Classification of service Slice: Unordered, Open by pattern:$this Binding: ?? (example): Classification of the requested service. |
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (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 | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed |
code | S Σ | 1..1 | CodeableConcept | (USCDI) What is being requested/ordered Binding: ?? (extensible): US Core Procedure Codes | S Σ | 1..1 | CodeableConcept | (USCDI) What is being requested/ordered Binding: ?? (extensible): US Core Procedure Codes |
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 |
coding | Σ | 1..* | Coding | Code defined by a terminology system | Σ | 1..* | Coding | Code defined by a terminology system |
text | Σ | 0..1 | string | Plain text representation of the concept | Σ | 0..1 | string | Plain text representation of the concept |
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ?? (example): Codified order entry details which are based on order context. | Σ C | 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 | S Σ | 1..1 | Reference(US Core Patient Profile) | (USCDI) Individual or Entity the service is ordered for | S Σ | 1..1 | Reference(US Core Patient Profile) | (USCDI) Individual or Entity the service is ordered for |
encounter | S Σ | 0..1 | Reference(US Core Encounter Profile) | Encounter in which the request was created | S Σ | 0..1 | Reference(US Core Encounter Profile) | Encounter in which the request was created |
occurrence[x] | S Σ | 0..1 | Period S, dateTime, Timing | (USCDI) When service should occur | S Σ | 0..1 | Period S, dateTime, Timing | (USCDI) When service should occur |
asNeeded[x] | Σ | 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. | Σ | 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. |
authoredOn | S Σ | 0..1 | dateTime | (USCDI) Date request signed | S Σ | 0..1 | dateTime | (USCDI) Date request signed |
requester | S Σ | 0..1 | Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile | Device) | (USCDI) Who/what is requesting service | S Σ | 0..1 | Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile | Device) | (USCDI) Who/what is requesting service |
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: ?? (required) | Σ | 0..* | CodeableConcept | Requested location Binding: ?? (required) |
locationReference | Σ | 0..* | Reference(Location) | Requested location | Σ | 0..* | Reference(Location) | Requested location |
reasonCode | Σ | 0..* | CodeableConcept | (USCDI) Explanation/Justification for procedure or service Binding: ?? (extensible) | Σ | 0..* | CodeableConcept | (USCDI) Explanation/Justification for procedure or service Binding: ?? (extensible) |
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | (USCDI) US Core Profile that supports the requested service | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | (USCDI) US Core Profile that supports the requested service |
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 | Σ | 0..* | Reference(US Pathology Specimen) | Procedure Samples | Σ | 0..* | Reference(US Pathology Specimen) | Procedure Samples |
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