HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
1.0.2 - STU1 Release 1 - Standard for Trial-Use
HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
1.0.2 - STU1 Release 1 - Standard for Trial-Use
HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG, published by HRSA BPHC. This guide is not an authorized publication; it is the continuous build for version 1.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/drajer-health/uds-plus/ and changes regularly. See the Directory of published versions
| Official URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-servicerequest | Version: 1.0.2 | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: UDSPlusServiceRequest | ||
The UDS+ profile is based on the ServiceRequest resource and establishes the core elements, extensions, vocabularies and value sets for representing ServiceRequest for UDS+ program.
This profile is used to represent de-identified ServiceRequest information. The de-identification process has to remove all data elements not explicitly identified as “SUPPORTED” in the profile.
The HHS De-identification Guidance is to be followed to ensure appropriate level of de-identification is performed.
According to the HHS guidance, dates should not have a precision of more than the year. This means month and day cannot be included. This includes ServiceRequest.occurenceDateTime.
In FHIR Resources, text elements and reference.display elements which provide human readable information to the providers may be generated using programs and tools from the data present within the resource. For e.g a ServiceRequest resource text element may contain information such as the ServiceRequest date, patient information. This type of information will enable identification of the individuals. In order to avoid inadvertent revealing of PII/PHI, text elements cannot be included in the De-identified FHIR resource and the submission will be rejected when text elements are present by the validation process.
Ids and References
The original ServiceRequest resource id should not be included in the De-identified ServiceRequest instance. Instead a new id should be created and provided as part of the FHIR resource. The Data Submitter should be capable of using the generated id to relink the data to the original ServiceRequest. All resource references to the ServiceRequest submitted as part of the UDS+ report should refer to newly generated id.
Resource references cannot contain text element as it may contain PHI/PII. The text element for following references are not allowed
Date Truncation
The Data Submitter has to truncate the following dates to only have a precision of year
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ServiceRequest |
0..* | ServiceRequest | De-Identified UDS Plus ServiceRequest | |
  id |
S | 0..1 | id | The de-identified ServiceRequest identifier created by the health center to send data to UDS+ Data Receiver |
| text |
0..0 | |||
| contained |
0..0 | |||
| status |
S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown |
| intent |
S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option |
| doNotPerform |
S | 1..1 | boolean | True if service/procedure should not be performed |
| code |
S | 1..1 | CodeableConcept | What is being requested/ordered Binding: US Core Procedure Codes (extensible): The set of codes indicating the ServiceRequests |
 subject |
S | 1..1 | Reference(De-Identified UDS Plus Patient) | Individual or Entity the service is ordered for |
| encounter |
S | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter in which the request was created |
| occurrence[x] |
S | 0..1 | dateTime, Period, Timing | When service should occur |
| authoredOn |
S | 0..1 | dateTime | Date request signed |
 requester |
S | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ServiceRequest.code | extensible | USCoreProcedureCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | De-Identified UDS Plus ServiceRequest prr-1: orderDetail SHALL only be present if code is present |
 id |
SΣ | 0..1 | id | The de-identified ServiceRequest identifier created by the health center to send data to UDS+ Data Receiver |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 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): The status of a service order. |
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. |
| doNotPerform |
?!SΣ | 1..1 | boolean | True if service/procedure should not be performed |
 code |
SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: US Core Procedure Codes (extensible): The set of codes indicating the ServiceRequests |
| subject |
SΣ | 1..1 | Reference(De-Identified UDS Plus Patient) | Individual or Entity the service is ordered for |
| encounter |
SΣ | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter in which the request was created |
  occurrence[x] |
SΣ | 0..1 | When service should occur | |
 occurrenceDateTime |
dateTime | |||
| occurrencePeriod |
Period | |||
| occurrenceTiming |
Timing | |||
| authoredOn |
SΣ | 0..1 | dateTime | Date request signed |
| requester |
SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | |
| ServiceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | |
| ServiceRequest.code | extensible | USCoreProcedureCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code |
| 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | De-Identified UDS Plus ServiceRequest prr-1: orderDetail SHALL only be present if code is present | ||||
| id |
SΣ | 0..1 | id | The de-identified ServiceRequest identifier created by the health center to send data to UDS+ Data Receiver | ||||
| 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.
| |||||
 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 |
?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | ||||
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | ||||
| category |
Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||
| 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 |
?!SΣ | 1..1 | boolean | True if service/procedure should not be performed | ||||
| code |
SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: US Core Procedure Codes (extensible): The set of codes indicating the ServiceRequests | ||||
| 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(De-Identified UDS Plus Patient) | Individual or Entity the service is ordered for | ||||
| encounter |
SΣ | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter in which the request was created | ||||
| occurrence[x] |
SΣ | 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 |
SΣ | 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 |
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 | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. | ||||
| 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 |
0..* | Annotation | Comments | |||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| ServiceRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | ||||
| ServiceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | ||||
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryfrom the FHIR Standard | ||||
| ServiceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| ServiceRequest.code | extensible | USCoreProcedureCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodeshttp://hl7.org/fhir/ValueSet/servicerequest-orderdetailfrom the FHIR Standard | ||||
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | ||||
| ServiceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-rolefrom the FHIR Standard | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType | ||||
| ServiceRequest.reasonCode | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reasonfrom the FHIR Standard | ||||
| ServiceRequest.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard |
| 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 ServiceRequest
Summary
Mandatory: 5 elements
Must-Support: 10 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Maturity: 2
Differential View
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest |
0..* | ServiceRequest | De-Identified UDS Plus ServiceRequest | |
| id |
S | 0..1 | id | The de-identified ServiceRequest identifier created by the health center to send data to UDS+ Data Receiver |
| text |
0..0 | |||
| contained |
0..0 | |||
| status |
S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown |
| intent |
S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option |
| doNotPerform |
S | 1..1 | boolean | True if service/procedure should not be performed |
| code |
S | 1..1 | CodeableConcept | What is being requested/ordered Binding: US Core Procedure Codes (extensible): The set of codes indicating the ServiceRequests |
| subject |
S | 1..1 | Reference(De-Identified UDS Plus Patient) | Individual or Entity the service is ordered for |
| encounter |
S | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter in which the request was created |
| occurrence[x] |
S | 0..1 | dateTime, Period, Timing | When service should occur |
| authoredOn |
S | 0..1 | dateTime | Date request signed |
| requester |
S | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ServiceRequest.code | extensible | USCoreProcedureCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | De-Identified UDS Plus ServiceRequest prr-1: orderDetail SHALL only be present if code is present |
| id |
SΣ | 0..1 | id | The de-identified ServiceRequest identifier created by the health center to send data to UDS+ Data Receiver |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| 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): The status of a service order. |
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. |
| doNotPerform |
?!SΣ | 1..1 | boolean | True if service/procedure should not be performed |
| code |
SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: US Core Procedure Codes (extensible): The set of codes indicating the ServiceRequests |
| subject |
SΣ | 1..1 | Reference(De-Identified UDS Plus Patient) | Individual or Entity the service is ordered for |
| encounter |
SΣ | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter in which the request was created |
| occurrence[x] |
SΣ | 0..1 | When service should occur | |
| occurrenceDateTime |
dateTime | |||
| occurrencePeriod |
Period | |||
| occurrenceTiming |
Timing | |||
| authoredOn |
SΣ | 0..1 | dateTime | Date request signed |
| requester |
SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | |
| ServiceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | |
| ServiceRequest.code | extensible | USCoreProcedureCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code |
| 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | De-Identified UDS Plus ServiceRequest prr-1: orderDetail SHALL only be present if code is present | ||||
| id |
SΣ | 0..1 | id | The de-identified ServiceRequest identifier created by the health center to send data to UDS+ Data Receiver | ||||
| 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.
| |||||
| 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 |
?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | ||||
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | ||||
| category |
Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||
| 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 |
?!SΣ | 1..1 | boolean | True if service/procedure should not be performed | ||||
| code |
SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: US Core Procedure Codes (extensible): The set of codes indicating the ServiceRequests | ||||
| 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(De-Identified UDS Plus Patient) | Individual or Entity the service is ordered for | ||||
| encounter |
SΣ | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter in which the request was created | ||||
| occurrence[x] |
SΣ | 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 |
SΣ | 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 |
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 | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. | ||||
| 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 |
0..* | Annotation | Comments | |||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| ServiceRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | ||||
| ServiceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | ||||
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryfrom the FHIR Standard | ||||
| ServiceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| ServiceRequest.code | extensible | USCoreProcedureCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodeshttp://hl7.org/fhir/ValueSet/servicerequest-orderdetailfrom the FHIR Standard | ||||
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | ||||
| ServiceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-rolefrom the FHIR Standard | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType | ||||
| ServiceRequest.reasonCode | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reasonfrom the FHIR Standard | ||||
| ServiceRequest.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard |
| 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 ServiceRequest
Summary
Mandatory: 5 elements
Must-Support: 10 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron