AU Base Implementation Guide
6.0.1-ci-build - CI Build

AU Base Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 6.0.1-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/au-fhir-base/ and changes regularly. See the Directory of published versions

## Resource Profile: AU Base Diagnostic Request

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-diagnosticrequest | Version: 6.0.1-ci-build
Standards status: Deprecated | Maturity Level: 1 | Computable Name: AUBaseDiagnosticRequest
Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

This profile defines a service request structure to represent a request for a diagnostic investigation in an Australian context. This profile is intended to support ordering for pathology, radiology, and specialist diagnostic investigations.

This profile is deprecated in AU Base as work is being undertaken in the AU eRequesting project to define the requirements for a diagnostic request. In AU Base this profile is replaced by AU Base ServiceRequest, which localises core concepts, including identifiers and terminology, for use in an Australian context and enables implementers and modellers to make their own rules, i.e. (profiling), about how to support these concepts for specific implementation needs.

### Usage Notes

Profile specific implementation guidance:

- The procedure-targetBodyStructure extension may be suitable for use where
  - body site is not implicit in the code found in `ServiceRequest.code` and
  - body site information is to be handled as a separate resource (e.g. to identify and track separately) instead of an inline coded element in `ServiceRequest.bodySite`.
- `ServiceRequest.code` for a pathology order is preferred to be a member of the RCPA - SPIA Requesting Pathology Terminology Reference Set.
- `ServiceRequest.code` for an imaging order is preferred to be a member of the Imaging Procedure value set.
- See each Identifier profile page for guidance related to that identifier type.

Extensions under consideration:

- ServiceRequest: Result Copies To

Usages:

- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Changes since version 5.0.0:

- The data elements list has changed
- One or more text definitions, invariants or bindings have changed

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | Deprecated: A diagnostic service request in an Australian healthcare context Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:targetBodyStructure |  | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier, AULocalOrderIdentifier | Identifiers assigned to this order
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: Evaluation Procedure (example)
subject | Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for
requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) | Authorising individual, organisation or program (e.g. National Bowel Cancer Screening Program)
performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: Practitioner Role (preferred)
reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
specimen | Σ | 0..* | Reference(AU Base Specimen) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: Body Site (preferred)
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.code | Base | example | Evaluation Procedure | ⏿1.0.0 | tx.hl7.org.au
ServiceRequest.performerType | Base | preferred | Practitioner Role | ⏿1.0.2 | tx.hl7.org.au
ServiceRequest.reasonCode | Base | preferred | Reason for Request | ⏿1.0.1 | tx.hl7.org.au
ServiceRequest.bodySite | Base | preferred | Body Site | ⏿1.0.2 | tx.hl7.org.au

#### 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()`

This structure is derived from ServiceRequest

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | ServiceRequest | Deprecated: A diagnostic service request in an Australian healthcare context
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:targetBodyStructure |  | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
identifier |  | 0..* | Identifier, AULocalOrderIdentifier | Identifiers assigned to this order
code |  | 0..1 | CodeableConcept | What is being requested/ordered Binding: Evaluation Procedure (example)
requester |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) | Authorising individual, organisation or program (e.g. National Bowel Cancer Screening Program)
performerType |  | 0..1 | CodeableConcept | Performer role Binding: Practitioner Role (preferred)
reasonCode |  | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
specimen |  | 0..* | Reference(AU Base Specimen) | Procedure Samples
bodySite |  | 0..* | CodeableConcept | Location on Body Binding: Body Site (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.code | Base | example | Evaluation Procedure | ⏿1.0.0 | tx.hl7.org.au
ServiceRequest.performerType | Base | preferred | Practitioner Role | ⏿1.0.2 | tx.hl7.org.au
ServiceRequest.reasonCode | Base | preferred | Reason for Request | ⏿1.0.1 | tx.hl7.org.au
ServiceRequest.bodySite | Base | preferred | Body Site | ⏿1.0.2 | tx.hl7.org.au

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | Deprecated: A diagnostic service request in an Australian healthcare context Constraints: prr-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:targetBodyStructure |  | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier, AULocalOrderIdentifier | 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 | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
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 | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: Evaluation Procedure (example)
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(Patient | Group | Location | Device) | 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 | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) | Authorising individual, organisation or program (e.g. National Bowel Cancer Screening Program)
performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: Practitioner Role (preferred)
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: Reason for Request (preferred)
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(AU Base Specimen) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: Body Site (preferred)
note |  | 0..* | Annotation | Comments
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
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 | example | Service Request Category Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | example | Evaluation Procedure | ⏿1.0.0 | tx.hl7.org.au
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 | preferred | Practitioner Role | ⏿1.0.2 | tx.hl7.org.au
ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.1
ServiceRequest.reasonCode | Base | preferred | Reason for Request | ⏿1.0.1 | tx.hl7.org.au
ServiceRequest.bodySite | Base | preferred | Body Site | ⏿1.0.2 | tx.hl7.org.au

#### 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()`

This structure is derived from ServiceRequest

Summary

Structures

This structure refers to these other structures:

- AU Base Specimen (http://hl7.org.au/fhir/StructureDefinition/au-specimen)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | Deprecated: A diagnostic service request in an Australian healthcare context Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:targetBodyStructure |  | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier, AULocalOrderIdentifier | Identifiers assigned to this order
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: Evaluation Procedure (example)
subject | Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for
requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) | Authorising individual, organisation or program (e.g. National Bowel Cancer Screening Program)
performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: Practitioner Role (preferred)
reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
specimen | Σ | 0..* | Reference(AU Base Specimen) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: Body Site (preferred)
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.code | Base | example | Evaluation Procedure | ⏿1.0.0 | tx.hl7.org.au
ServiceRequest.performerType | Base | preferred | Practitioner Role | ⏿1.0.2 | tx.hl7.org.au
ServiceRequest.reasonCode | Base | preferred | Reason for Request | ⏿1.0.1 | tx.hl7.org.au
ServiceRequest.bodySite | Base | preferred | Body Site | ⏿1.0.2 | tx.hl7.org.au

#### 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

This structure is derived from ServiceRequest

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | ServiceRequest | Deprecated: A diagnostic service request in an Australian healthcare context
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:targetBodyStructure |  | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
identifier |  | 0..* | Identifier, AULocalOrderIdentifier | Identifiers assigned to this order
code |  | 0..1 | CodeableConcept | What is being requested/ordered Binding: Evaluation Procedure (example)
requester |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) | Authorising individual, organisation or program (e.g. National Bowel Cancer Screening Program)
performerType |  | 0..1 | CodeableConcept | Performer role Binding: Practitioner Role (preferred)
reasonCode |  | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
specimen |  | 0..* | Reference(AU Base Specimen) | Procedure Samples
bodySite |  | 0..* | CodeableConcept | Location on Body Binding: Body Site (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.code | Base | example | Evaluation Procedure | ⏿1.0.0 | tx.hl7.org.au
ServiceRequest.performerType | Base | preferred | Practitioner Role | ⏿1.0.2 | tx.hl7.org.au
ServiceRequest.reasonCode | Base | preferred | Reason for Request | ⏿1.0.1 | tx.hl7.org.au
ServiceRequest.bodySite | Base | preferred | Body Site | ⏿1.0.2 | tx.hl7.org.au

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | Deprecated: A diagnostic service request in an Australian healthcare context Constraints: prr-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:targetBodyStructure |  | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier, AULocalOrderIdentifier | 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 | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
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 | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: Evaluation Procedure (example)
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(Patient | Group | Location | Device) | 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 | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) | Authorising individual, organisation or program (e.g. National Bowel Cancer Screening Program)
performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: Practitioner Role (preferred)
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: Reason for Request (preferred)
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(AU Base Specimen) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: Body Site (preferred)
note |  | 0..* | Annotation | Comments
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
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 | example | Service Request Category Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | example | Evaluation Procedure | ⏿1.0.0 | tx.hl7.org.au
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 | preferred | Practitioner Role | ⏿1.0.2 | tx.hl7.org.au
ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.1
ServiceRequest.reasonCode | Base | preferred | Reason for Request | ⏿1.0.1 | tx.hl7.org.au
ServiceRequest.bodySite | Base | preferred | Body Site | ⏿1.0.2 | tx.hl7.org.au

#### 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()`

This structure is derived from ServiceRequest

Summary

Structures

This structure refers to these other structures:

- AU Base Specimen (http://hl7.org.au/fhir/StructureDefinition/au-specimen)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure

Maturity: 1

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