PACIO Advance Healthcare Directive Interoperability Implementation Guide
2.0.0-ballot - STU 2 – Ballot

PACIO Advance Healthcare Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. 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/pacio-adi/ and changes regularly. See the Directory of published versions

## Resource Profile: ADI PMO ServiceRequest ( Abstract )

Official URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOServiceRequest | Version: 2.0.0-ballot
Standards status: Trial-use | Maturity Level: 2 | Computable Name: ADIPMOServiceRequest

This profile is used to represent both a patient authored care plan (PACP) and a practitioner authored portable medical order (PMO).

Usages:

- Derived from this Profile: ADI PMO Additional orders or instructions ServiceRequest, ADI PMO Cardiopulmonary Resuscitation ServiceRequest, ADI PMO Initial Treatment ServiceRequest, ADI PMO Medically Assisted Hydration Service Request and ADI PMO Medically Assisted Nutrition Service Request
- Refer to this Profile: ADI PMO Care Plan and ADI PMO Composition

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | USCoreServiceRequestProfile | This is an abstract profile. Child profiles: ADIPMOAdditionalOrdersOrInstructionsServiceRequest, ADIPMOCPRServiceRequest, ADIPMOInitialTreatmentServiceRequest, ADIPMOMedicallyAssistedHydrationServiceRequest, ADIPMOMedicallyAssistedNutritionServiceRequest A request for a service to be performed Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Required Pattern: active
intent | ?!S 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. Required Pattern: directive
Slices for category | S Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:us-core | S Σ | 0..* | CodeableConcept | Classification of service Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: US Core Procedure Codes (extensible)
subject | S Σ | 1..1 | Reference(US Core Patient Profile S) | Individual or Entity the service is ordered for
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrencePeriod |  |  | Period S |
occurrenceDateTime |  |  | dateTime |
occurrenceTiming |  |  | Timing |
authoredOn | S Σ | 0..1 | dateTime | Date request signed
requester | S Σ | 1..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile) | Who/what is requesting service
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
ServiceRequest.status | required | Pattern Value: active `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From the FHIR Standard
ServiceRequest.intent | required | Pattern Value: directive `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` From the FHIR Standard
ServiceRequest.category | example | ServiceRequestCategoryCodes `http://hl7.org/fhir/ValueSet/servicerequest-category` From the FHIR Standard
ServiceRequest.category:us-core | required | USCoreServiceRequestCategoryCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category`
ServiceRequest.code | extensible | USCoreProcedureCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |

This structure is derived from USCoreServiceRequestProfile

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  |  | USCoreServiceRequestProfile | This is an abstract profile. Child profiles: ADIPMOAdditionalOrdersOrInstructionsServiceRequest, ADIPMOCPRServiceRequest, ADIPMOInitialTreatmentServiceRequest, ADIPMOMedicallyAssistedHydrationServiceRequest, ADIPMOMedicallyAssistedNutritionServiceRequest
status |  | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Required Pattern: active
intent |  | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: directive
category |  | 1..* | CodeableConcept | Classification of service
subject |  | 1..1 | Reference(US Core Patient Profile) | Individual or Entity the service is ordered for
encounter |  | 0..0 |  |
requester |  | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Who/what is requesting service
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | USCoreServiceRequestProfile | This is an abstract profile. Child profiles: ADIPMOAdditionalOrdersOrInstructionsServiceRequest, ADIPMOCPRServiceRequest, ADIPMOInitialTreatmentServiceRequest, ADIPMOMedicallyAssistedHydrationServiceRequest, ADIPMOMedicallyAssistedNutritionServiceRequest A request for a service to be performed Constraints: prr-1
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 Bindings | Purpose
AllLanguages | 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
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifiers assigned to this order
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 | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Required Pattern: active
intent | ?!S 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. Required Pattern: directive
Slices for category | S Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:us-core | S Σ | 0..* | CodeableConcept | Classification of service Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
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 | S Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: US Core Procedure Codes (extensible)
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 | Σ | 0..1 | string | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: The name of the test, procedure, or service to be performed.
orderDetail | Σ C | 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 | S Σ | 1..1 | Reference(US Core Patient Profile S) | Individual or Entity the service is ordered for
occurrence[x] | S Σ | 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 | S Σ | 0..1 | dateTime | Date request signed
requester | S Σ | 1..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile) | 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 | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: US Core Condition Codes (extensible)
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested 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

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
ServiceRequest.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
ServiceRequest.status | required | Pattern Value: active `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From the FHIR Standard
ServiceRequest.intent | required | Pattern Value: directive `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` From the FHIR Standard
ServiceRequest.category | example | ServiceRequestCategoryCodes `http://hl7.org/fhir/ValueSet/servicerequest-category` From the FHIR Standard
ServiceRequest.category:us-core | required | USCoreServiceRequestCategoryCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category`
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` From the FHIR Standard
ServiceRequest.code | extensible | USCoreProcedureCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code`
ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` From the FHIR Standard
ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes `http://hl7.org/fhir/ValueSet/medication-as-needed-reason` From the FHIR Standard
ServiceRequest.performerType | example | ParticipantRoles `http://hl7.org/fhir/ValueSet/participant-role` From the FHIR Standard
ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleType `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType`
ServiceRequest.reasonCode | extensible | USCoreConditionCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code`
ServiceRequest.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |

This structure is derived from USCoreServiceRequestProfile

Summary

Mandatory: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | USCoreServiceRequestProfile | This is an abstract profile. Child profiles: ADIPMOAdditionalOrdersOrInstructionsServiceRequest, ADIPMOCPRServiceRequest, ADIPMOInitialTreatmentServiceRequest, ADIPMOMedicallyAssistedHydrationServiceRequest, ADIPMOMedicallyAssistedNutritionServiceRequest A request for a service to be performed Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Required Pattern: active
intent | ?!S 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. Required Pattern: directive
Slices for category | S Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:us-core | S Σ | 0..* | CodeableConcept | Classification of service Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: US Core Procedure Codes (extensible)
subject | S Σ | 1..1 | Reference(US Core Patient Profile S) | Individual or Entity the service is ordered for
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrencePeriod |  |  | Period S |
occurrenceDateTime |  |  | dateTime |
occurrenceTiming |  |  | Timing |
authoredOn | S Σ | 0..1 | dateTime | Date request signed
requester | S Σ | 1..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile) | Who/what is requesting service
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
ServiceRequest.status | required | Pattern Value: active `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From the FHIR Standard
ServiceRequest.intent | required | Pattern Value: directive `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` From the FHIR Standard
ServiceRequest.category | example | ServiceRequestCategoryCodes `http://hl7.org/fhir/ValueSet/servicerequest-category` From the FHIR Standard
ServiceRequest.category:us-core | required | USCoreServiceRequestCategoryCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category`
ServiceRequest.code | extensible | USCoreProcedureCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |

Differential View

This structure is derived from USCoreServiceRequestProfile

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  |  | USCoreServiceRequestProfile | This is an abstract profile. Child profiles: ADIPMOAdditionalOrdersOrInstructionsServiceRequest, ADIPMOCPRServiceRequest, ADIPMOInitialTreatmentServiceRequest, ADIPMOMedicallyAssistedHydrationServiceRequest, ADIPMOMedicallyAssistedNutritionServiceRequest
status |  | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Required Pattern: active
intent |  | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: directive
category |  | 1..* | CodeableConcept | Classification of service
subject |  | 1..1 | Reference(US Core Patient Profile) | Individual or Entity the service is ordered for
encounter |  | 0..0 |  |
requester |  | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Who/what is requesting service
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | USCoreServiceRequestProfile | This is an abstract profile. Child profiles: ADIPMOAdditionalOrdersOrInstructionsServiceRequest, ADIPMOCPRServiceRequest, ADIPMOInitialTreatmentServiceRequest, ADIPMOMedicallyAssistedHydrationServiceRequest, ADIPMOMedicallyAssistedNutritionServiceRequest A request for a service to be performed Constraints: prr-1
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 Bindings | Purpose
AllLanguages | 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
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifiers assigned to this order
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 | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Required Pattern: active
intent | ?!S 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. Required Pattern: directive
Slices for category | S Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:us-core | S Σ | 0..* | CodeableConcept | Classification of service Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
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 | S Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: US Core Procedure Codes (extensible)
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 | Σ | 0..1 | string | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: The name of the test, procedure, or service to be performed.
orderDetail | Σ C | 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 | S Σ | 1..1 | Reference(US Core Patient Profile S) | Individual or Entity the service is ordered for
occurrence[x] | S Σ | 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 | S Σ | 0..1 | dateTime | Date request signed
requester | S Σ | 1..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile) | 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 | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: US Core Condition Codes (extensible)
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested 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

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
ServiceRequest.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
ServiceRequest.status | required | Pattern Value: active `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From the FHIR Standard
ServiceRequest.intent | required | Pattern Value: directive `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` From the FHIR Standard
ServiceRequest.category | example | ServiceRequestCategoryCodes `http://hl7.org/fhir/ValueSet/servicerequest-category` From the FHIR Standard
ServiceRequest.category:us-core | required | USCoreServiceRequestCategoryCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category`
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` From the FHIR Standard
ServiceRequest.code | extensible | USCoreProcedureCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code`
ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` From the FHIR Standard
ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes `http://hl7.org/fhir/ValueSet/medication-as-needed-reason` From the FHIR Standard
ServiceRequest.performerType | example | ParticipantRoles `http://hl7.org/fhir/ValueSet/participant-role` From the FHIR Standard
ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleType `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType`
ServiceRequest.reasonCode | extensible | USCoreConditionCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code`
ServiceRequest.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |

This structure is derived from USCoreServiceRequestProfile

Summary

Mandatory: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)

Maturity: 2

Other representations of profile: CSV, Excel, Schematron