Kenya National Cancer Control Programme (NCCP) FHIR Implementation Guide
0.1.0 - ci-build
Kenya National Cancer Control Programme (NCCP) FHIR Implementation Guide
0.1.0 - ci-build
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
| Official URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-radiotherapy-service-request | Version: 0.1.0 | ||||
| Draft as of 2026-06-04 | Computable Name: RadiotherapyServiceRequest | ||||
Prescription and referral for radiotherapy treatment, including intent, technique and target volume.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  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 |
3..* | Extension | Extension Slice: Unordered, Open by value:url | |
  extension:rtIntent |
S | 1..1 | code | Radiotherapy Intent Extension URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-intent-extension Binding: Kenya Radiotherapy Intent Value Set (required) |
| extension:rtTreatmentTechnique |
S | 1..1 | code | Radiotherapy Treatment Technique Extension URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-treatment-technique-extension Binding: Kenya Radiotherapy Treatment Technique Value Set (required) |
 extension:rtTargetVolume |
S | 1..* | code | Radiotherapy Target Volume Extension URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-target-volume-extension Binding: Kenya Radiotherapy Target Volume Value Set (required) |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| 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..* | 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 |
| encounter |
SΣ | 0..1 | Reference(Encounter) | Encounter in which the request was created |
| requester |
SΣ | 1..1 | Reference(Practitioner) | Who/what is requesting service |
| reasonReference |
SΣ | 1..* | Reference(NCCP Oncology Diagnosis Condition) | Explanation/Justification for service or service |
| bodySite |
SΣ | 1..* | CodeableConcept | Location on Body Binding: Kenya Cancer Primary Site Value Set (required) |
| Documentation for this format | ||||
| 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.bodySite | Base | required | Kenya Cancer Primary Site Value Set | 📦0.1.0 | This IG |
| 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()
|
| 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.bodySite | Base | required | Kenya Cancer Primary Site Value Set | 📦0.1.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| 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 |
3..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:rtIntent |
S | 1..1 | code | Radiotherapy Intent Extension URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-intent-extension Binding: Kenya Radiotherapy Intent Value Set (required) | ||||
| extension:rtTreatmentTechnique |
S | 1..1 | code | Radiotherapy Treatment Technique Extension URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-treatment-technique-extension Binding: Kenya Radiotherapy Treatment Technique Value Set (required) | ||||
| extension:rtTargetVolume |
S | 1..* | code | Radiotherapy Target Volume Extension URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-target-volume-extension Binding: Kenya Radiotherapy Target Volume 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..* | 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 |
SΣ | 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 | 1..1 | Reference(Practitioner) | 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: V3 Value SetServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||
| locationReference |
Σ | 0..* | Reference(Location) | Requested location | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. | ||||
| reasonReference |
SΣ | 1..* | Reference(NCCP Oncology Diagnosis Condition) | 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 |
SΣ | 1..* | CodeableConcept | Location on Body Binding: Kenya Cancer Primary Site Value Set (required) | ||||
| note |
0..* | Annotation | Comments | |||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| 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 | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.bodySite | Base | required | Kenya Cancer Primary Site Value Set | 📦0.1.0 | This IG |
| 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()
|
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 |
3..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:rtIntent |
S | 1..1 | code | Radiotherapy Intent Extension URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-intent-extension Binding: Kenya Radiotherapy Intent Value Set (required) |
| extension:rtTreatmentTechnique |
S | 1..1 | code | Radiotherapy Treatment Technique Extension URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-treatment-technique-extension Binding: Kenya Radiotherapy Treatment Technique Value Set (required) |
| extension:rtTargetVolume |
S | 1..* | code | Radiotherapy Target Volume Extension URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-target-volume-extension Binding: Kenya Radiotherapy Target Volume Value Set (required) |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| 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..* | 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 |
| encounter |
SΣ | 0..1 | Reference(Encounter) | Encounter in which the request was created |
| requester |
SΣ | 1..1 | Reference(Practitioner) | Who/what is requesting service |
| reasonReference |
SΣ | 1..* | Reference(NCCP Oncology Diagnosis Condition) | Explanation/Justification for service or service |
| bodySite |
SΣ | 1..* | CodeableConcept | Location on Body Binding: Kenya Cancer Primary Site Value Set (required) |
| Documentation for this format | ||||
| 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.bodySite | Base | required | Kenya Cancer Primary Site Value Set | 📦0.1.0 | This IG |
| 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
| 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.bodySite | Base | required | Kenya Cancer Primary Site Value Set | 📦0.1.0 | This IG |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| 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 |
3..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:rtIntent |
S | 1..1 | code | Radiotherapy Intent Extension URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-intent-extension Binding: Kenya Radiotherapy Intent Value Set (required) | ||||
| extension:rtTreatmentTechnique |
S | 1..1 | code | Radiotherapy Treatment Technique Extension URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-treatment-technique-extension Binding: Kenya Radiotherapy Treatment Technique Value Set (required) | ||||
| extension:rtTargetVolume |
S | 1..* | code | Radiotherapy Target Volume Extension URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-target-volume-extension Binding: Kenya Radiotherapy Target Volume 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..* | 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 |
SΣ | 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 | 1..1 | Reference(Practitioner) | 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: V3 Value SetServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||
| locationReference |
Σ | 0..* | Reference(Location) | Requested location | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. | ||||
| reasonReference |
SΣ | 1..* | Reference(NCCP Oncology Diagnosis Condition) | 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 |
SΣ | 1..* | CodeableConcept | Location on Body Binding: Kenya Cancer Primary Site Value Set (required) | ||||
| note |
0..* | Annotation | Comments | |||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| 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 | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.bodySite | Base | required | Kenya Cancer Primary Site Value Set | 📦0.1.0 | This IG |
| 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()
|
Other representations of profile: CSV, Excel, Schematron
