| Left: | US Core PMO ServiceRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-pmo-servicerequest) |
| Right: | PAS Service Request (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-servicerequest) |
| Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-pmo-servicerequest' vs 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-servicerequest' |
| Error | StructureDefinition.version | Values for version differ: '9.0.0-ballot' vs '2.2.0-snapshot' |
| Information | StructureDefinition.name | Values for name differ: 'USCorePMOServiceRequestProfile' vs 'PASServiceRequest' |
| Information | StructureDefinition.title | Values for title differ: 'US Core PMO ServiceRequest Profile' vs 'PAS Service Request' |
| Information | StructureDefinition.date | Values for date differ: '2025-08-26' vs '2026-01-30T23:58:09+00:00' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Financial Management' |
| Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension' |
| Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension' |
| Warning | ServiceRequest.status | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | StructureDefinition.comment | Values for comment differ: 'To allow for the resource life cycle, no constraint on intent for use when documenting derived medical orders. Use 'directive' when part of a FHIR-based PMO document.' vs 'This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.' |
| Warning | ServiceRequest.category | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | ServiceRequest.category | Element minimum cardinalities differ: '1' vs '0' |
| Information | StructureDefinition.comment | Values for comment differ: 'The `ServiceRequest.code` is bound to [Portable Medical Orders - Detailed Categories and Interventions](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1267.35/expansion), which is comprised of code sets for each [Portable Medical Order Categories](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1267.34/Expansion) found in `ServiceRequest.category:us-core-pmo-category`. For proper context, these codes **SHOULD** be aligned with the appropriate Category as follows. - When there is no appropriate code to capture the order, plain text can be used here and in the optional `ServiceRequest.orderDetail` element.' vs 'Many laboratory and radiology procedure codes embed the specimen/organ system in the test order name, for example, serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code.' |
| Information | ServiceRequest.code | Element minimum cardinalities differ: '1' vs '0' |
| Error | ServiceRequest.code | Unable to resolve left value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.35 at ServiceRequest.code |
| Warning | ServiceRequest.quantity[x] | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | ServiceRequest.encounter | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | ServiceRequest.authoredOn | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | ServiceRequest.requester | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | StructureDefinition.short | Values for short differ: 'Reference to the PMO document' vs 'Explanation/Justification for service or service' |
| Warning | ServiceRequest.reasonReference | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Error | ServiceRequest.reasonReference | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-adi-documentreference], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/DiagnosticReport]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Condition|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1]]) |
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/ServiceRequest | ||
| copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
| |
| date | 2025-08-26 | 2026-01-30T23:58:09+00:00 |
|
| description | The US Core PMO ServiceRequest Profile inherits from the [FHIR ServiceRequest](https://hl7.org/fhir/R4/servicerequest.html) resource; refer to it for scope and usage definitions. This profile represents an order based on a PMO document and references the [US Core ADI DocumentReference Profile](StructureDefinition-us-core-adi-documentreference.html) to communicate the contents of the PMO document, such as POLST, MOLST, or other state-specific forms. PMO documents follow the patient across care settings and are typically stored as scanned images in EMRs/EHRs. Together, these two profiles satisfy the USCDI's PMO Order Data Element's intent to represent orders based on an individual's PMO. The US Core PMO ServiceRequest Profile establishes minimum expectations for recording, searching, and fetching PMO-related ServiceRequest information, specifying core elements, extensions, vocabularies, and value sets that SHALL be present to promote interoperability. | PAS constraints on ServiceRequest resource mandating support for elements relevant to the generic services being requested on a prior authorization request |
|
| experimental | |||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCorePMOServiceRequestProfile | PASServiceRequest |
|
| publisher | HL7 International / Cross-Group Projects | HL7 International / Financial Management |
|
| purpose | |||
| status | active | ||
| title | US Core PMO ServiceRequest Profile | PAS Service Request |
|
| type | ServiceRequest | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-pmo-servicerequest | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-servicerequest |
|
| version | 9.0.0-ballot | 2.2.0-snapshot |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed | C | 0..* | ServiceRequest | A request for a service to be performed | |||||||||
 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.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
 extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier | Σ | 0..* | Identifier | Identifiers assigned to this order | Σ | 0..* | Identifier | Identifiers assigned to this order | |||||||||
| instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition | |||||||||
| basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | |||||||||
| replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces | |||||||||
| requisition | Σ | 0..1 | Identifier | Composite Request ID | Σ | 0..1 | Identifier | Composite Request ID | |||||||||
| status | ?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of a service order. | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (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: ?? (required): The kind of service request. | ?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of service request. Fixed Value: order | |||||||||
| Slices for category | SΣ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ?? (example): Classification of the requested service. | Σ | 0..* | CodeableConcept | Classification of service 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 | SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: ?? (extensible) | SΣ | 0..1 | CodeableConcept | What is being requested/ordered Binding: ?? (required) |
| ||||||||
| orderDetail | ΣC | 0..* | CodeableConcept | Additional order information Binding: ?? (example): Codified order entry details which are based on order context. | ΣC | 0..* | CodeableConcept | Additional order information Binding: ?? (example): Codified order entry details which are based on order context. | |||||||||
| quantity[x] | Σ | 0..1 | Quantity, Ratio, Range | Service amount | SΣ | 0..1 | ?? | Service amount |
| ||||||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile(7.0.0)) | Individual or Entity the service is ordered for | SΣ | 1..1 | Reference(PAS Beneficiary Patient(2.2.0-snapshot)) | Individual or Entity the service is ordered for | |||||||||
| encounter | SΣ | 0..1 | Reference(US Core Encounter Profile(7.0.0)) | Encounter in which the request was created | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created |
| ||||||||
| occurrence[x] | SΣ | 0..1 | Period S, dateTime, Timing | When service should occur | SΣ | 0..1 | ?? | 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 | SΣ | 0..1 | dateTime | Date request signed | Σ | 0..1 | dateTime | Date request signed |
| ||||||||
| requester | SΣ | 0..1 | Reference(US Core Practitioner Profile(7.0.0) S | US Core Organization Profile(7.0.0) | PractitionerRole) | Who/what is requesting service | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | 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: ?? (example): A location type where services are delivered. | Σ | 0..* | CodeableConcept | Requested location Binding: ?? (example): A location type where services are delivered. | |||||||||
| locationReference | Σ | 0..* | Reference(Location) | Requested location | Σ | 0..* | Reference(Location) | Requested location | |||||||||
| reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ?? (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ?? (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. | |||||||||
| reasonReference | SΣ | 0..* | Reference(US Core ADI DocumentReference Profile S | US Core DocumentReference Profile(7.0.0) | US Core Condition Problems and Health Concerns Profile(7.0.0) | Observation | DiagnosticReport) | Reference to the PMO document | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or 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(Specimen) | Procedure Samples | Σ | 0..* | Reference(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 | |||||||||||||||||