Kenya National Cancer Control Programme (NCCP) FHIR Implementation Guide
0.1.0 - ci-build Kenya flag

Kenya National Cancer Control Programme (NCCP) FHIR Implementation Guide, published by Digital Health Agency (DHA), Kenya. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/nccpFHIRIG/ and changes regularly. See the Directory of published versions

Resource Profile: NCCP Oncology Referral Service Request

Official URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-referral-service-request Version: 0.1.0
Draft as of 2026-06-04 Computable Name: OncologyReferralServiceRequest

Records referral of a patient to an oncology specialist or cancer centre.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... meta Σ 0..1 Meta Metadata about the resource
.... profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:referralSource S 1..1 code Referral Source Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-referral-source-extension
Binding: Kenya Referral Source Value Set (required)
.... extension:treatmentStartedAtNotification S 0..1 code Prior Treatment Outcome Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-treatment-started-at-notification-extension
Binding: Kenya Prior Treatment Outcome Value Set (required)
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required)
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... category SΣ 1..1 CodeableConcept Classification of service
Binding: Kenya SHA Oncology Interventions Value Set (required)
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: Kenya SHA Oncology Interventions Value Set (required)
... subject SΣ 1..1 Reference(Patient) Individual or Entity the service is ordered for
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... performer SΣ 0..* Reference(Organization) Requested performer
... reasonCode SΣ 1..* CodeableConcept Explanation/Justification for procedure or service
Binding: Kenya Oncology Condition Codes Value Set (required)
... note S 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📦4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📦4.0.1 FHIR Std.
ServiceRequest.category Base required Kenya SHA Oncology Interventions Value Set 📦0.1.0 This IG
ServiceRequest.code Base required Kenya SHA Oncology Interventions Value Set 📦0.1.0 This IG
ServiceRequest.reasonCode Base required Kenya Oncology Condition Codes Value Set 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... meta
.... profile S 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:referralSource S 1..1 code Referral Source Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-referral-source-extension
Binding: Kenya Referral Source Value Set (required)
.... extension:treatmentStartedAtNotification S 0..1 code Prior Treatment Outcome Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-treatment-started-at-notification-extension
Binding: Kenya Prior Treatment Outcome Value Set (required)
... status S 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required)
... category S 1..1 CodeableConcept Classification of service
Binding: Kenya SHA Oncology Interventions Value Set (required)
... code S 1..1 CodeableConcept What is being requested/ordered
Binding: Kenya SHA Oncology Interventions Value Set (required)
... subject S 1..1 Reference(Patient) Individual or Entity the service is ordered for
... requester S 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... performer S 0..* Reference(Organization) Requested performer
... reasonCode S 1..* CodeableConcept Explanation/Justification for procedure or service
Binding: Kenya Oncology Condition Codes Value Set (required)
... note S 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📦4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📦4.0.1 FHIR Std.
ServiceRequest.category Base required Kenya SHA Oncology Interventions Value Set 📦0.1.0 This IG
ServiceRequest.code Base required Kenya SHA Oncology Interventions Value Set 📦0.1.0 This IG
ServiceRequest.reasonCode Base required Kenya Oncology Condition Codes Value Set 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest 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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:referralSource S 1..1 code Referral Source Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-referral-source-extension
Binding: Kenya Referral Source Value Set (required)
.... extension:treatmentStartedAtNotification S 0..1 code Prior Treatment Outcome Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-treatment-started-at-notification-extension
Binding: Kenya Prior Treatment Outcome Value Set (required)
... 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 ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required)
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... category SΣ 1..1 CodeableConcept Classification of service
Binding: Kenya SHA Oncology Interventions Value Set (required)
... 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 SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: Kenya SHA Oncology Interventions Value Set (required)
... 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(Patient) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] Σ 0..1 When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn Σ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
... performer SΣ 0..* Reference(Organization) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: V3 Value SetServiceDeliveryLocationRoleType (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(Location) Requested location
... reasonCode SΣ 1..* CodeableConcept Explanation/Justification for procedure or service
Binding: Kenya Oncology Condition Codes Value Set (required)
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... note 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

Path Status Usage ValueSet Version Source
ServiceRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
ServiceRequest.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📦4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📦4.0.1 FHIR Std.
ServiceRequest.category Base required Kenya SHA Oncology Interventions Value Set 📦0.1.0 This IG
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base required Kenya SHA Oncology Interventions Value Set 📦0.1.0 This IG
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example V3 Value SetServiceDeliveryLocationRoleType 📦2014-03-26 FHIR Std.
ServiceRequest.reasonCode Base required Kenya Oncology Condition Codes Value Set 📦0.1.0 This IG
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 12 elements

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... meta Σ 0..1 Meta Metadata about the resource
.... profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:referralSource S 1..1 code Referral Source Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-referral-source-extension
Binding: Kenya Referral Source Value Set (required)
.... extension:treatmentStartedAtNotification S 0..1 code Prior Treatment Outcome Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-treatment-started-at-notification-extension
Binding: Kenya Prior Treatment Outcome Value Set (required)
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required)
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... category SΣ 1..1 CodeableConcept Classification of service
Binding: Kenya SHA Oncology Interventions Value Set (required)
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: Kenya SHA Oncology Interventions Value Set (required)
... subject SΣ 1..1 Reference(Patient) Individual or Entity the service is ordered for
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... performer SΣ 0..* Reference(Organization) Requested performer
... reasonCode SΣ 1..* CodeableConcept Explanation/Justification for procedure or service
Binding: Kenya Oncology Condition Codes Value Set (required)
... note S 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📦4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📦4.0.1 FHIR Std.
ServiceRequest.category Base required Kenya SHA Oncology Interventions Value Set 📦0.1.0 This IG
ServiceRequest.code Base required Kenya SHA Oncology Interventions Value Set 📦0.1.0 This IG
ServiceRequest.reasonCode Base required Kenya Oncology Condition Codes Value Set 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... meta
.... profile S 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:referralSource S 1..1 code Referral Source Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-referral-source-extension
Binding: Kenya Referral Source Value Set (required)
.... extension:treatmentStartedAtNotification S 0..1 code Prior Treatment Outcome Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-treatment-started-at-notification-extension
Binding: Kenya Prior Treatment Outcome Value Set (required)
... status S 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required)
... category S 1..1 CodeableConcept Classification of service
Binding: Kenya SHA Oncology Interventions Value Set (required)
... code S 1..1 CodeableConcept What is being requested/ordered
Binding: Kenya SHA Oncology Interventions Value Set (required)
... subject S 1..1 Reference(Patient) Individual or Entity the service is ordered for
... requester S 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... performer S 0..* Reference(Organization) Requested performer
... reasonCode S 1..* CodeableConcept Explanation/Justification for procedure or service
Binding: Kenya Oncology Condition Codes Value Set (required)
... note S 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📦4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📦4.0.1 FHIR Std.
ServiceRequest.category Base required Kenya SHA Oncology Interventions Value Set 📦0.1.0 This IG
ServiceRequest.code Base required Kenya SHA Oncology Interventions Value Set 📦0.1.0 This IG
ServiceRequest.reasonCode Base required Kenya Oncology Condition Codes Value Set 📦0.1.0 This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest 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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:referralSource S 1..1 code Referral Source Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-referral-source-extension
Binding: Kenya Referral Source Value Set (required)
.... extension:treatmentStartedAtNotification S 0..1 code Prior Treatment Outcome Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-treatment-started-at-notification-extension
Binding: Kenya Prior Treatment Outcome Value Set (required)
... 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 ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required)
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... category SΣ 1..1 CodeableConcept Classification of service
Binding: Kenya SHA Oncology Interventions Value Set (required)
... 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 SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: Kenya SHA Oncology Interventions Value Set (required)
... 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(Patient) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] Σ 0..1 When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn Σ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
... performer SΣ 0..* Reference(Organization) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: V3 Value SetServiceDeliveryLocationRoleType (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(Location) Requested location
... reasonCode SΣ 1..* CodeableConcept Explanation/Justification for procedure or service
Binding: Kenya Oncology Condition Codes Value Set (required)
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... note 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

Path Status Usage ValueSet Version Source
ServiceRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
ServiceRequest.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📦4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📦4.0.1 FHIR Std.
ServiceRequest.category Base required Kenya SHA Oncology Interventions Value Set 📦0.1.0 This IG
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base required Kenya SHA Oncology Interventions Value Set 📦0.1.0 This IG
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example V3 Value SetServiceDeliveryLocationRoleType 📦2014-03-26 FHIR Std.
ServiceRequest.reasonCode Base required Kenya Oncology Condition Codes Value Set 📦0.1.0 This IG
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 12 elements

Extensions

This structure refers to these extensions:

 

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