Australian Digital Health Agency FHIR Implementation Guide

This profile identifies the additional constraints, extensions, and value sets that build on and extend ServiceRequest that are supported.

Where a more specific ServiceRequest profile is applicable an implementation SHALL ensure the resource conforms to that specific profile.

This profile is designed to set a core ServiceRequest standard for:

• Query for a request for a service associated with a patient
• Record or update a request for a service associated with a patient

This profile may be referred to by APIs, which will be listed here when available.

Profile specific guidance

• ServiceRequest.category provides an efficient way of supporting system interactions, e.g. restricting searches. Implementers need to understand that data categorisation is somewhat subjective. The categorisation applied by the source may not align with a receiver’s expectations.
• The ServiceRequest resource can represent a reason as a code with ServiceRequest.reasonCode, or a reference with ServiceRequest.reasonReference to a Condition or other resource.
  • Although both are marked as must support, sending systems are not required to support both a code and a reference, but they SHALL support at least one of these elements.
  • A receiving or persisting system SHALL support both elements.
• The ServiceRequest resource can represent the desired performer as a code with ServiceRequest.performerType, or a reference with ServiceRequest.performer to a HealthcareService or other resource.
  • Although both are marked as must support, sending systems are not required to support both a code and a reference, but they SHALL support at least one of these elements.
  • A receiving or persisting system SHALL support both elements.
• ServiceRequest.supportingInfo is broad to accommodate a wide variety of use cases by allowing a reference to any resource.
  • Sending systems SHALL ensure references to external resources are only to resources that conform to at least an ADHA Core profile and the resource type is supported by the Conformance/Capability statement for that endpoint and conform.

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

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed inv-dh-srr-01: If present, a performer shall at least have a reference or display or a valid identifier
identifier	S	0..*	Identifier	Identifiers assigned to this order
basedOn	S	0..*	Reference(ADHA Core MedicationRequest | ADHA Core ServiceRequest)	What request fulfills
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
category	S	0..*	CodeableConcept	Classification of service Binding: Service Type (example)
code	S	1..1	CodeableConcept	What is being requested/ordered Binding: Procedure (preferred)
subject	SC	1..1	Reference(ADHA Core Patient)	Individual or Entity the service is ordered for inv-dh-srr-02: At least reference or a valid identifier shall be present
encounter	S	0..1	Reference(ADHA Core Encounter)	Encounter in which the request was created
authoredOn	S	0..1	dateTime	Date request signed
requester	SC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA System Device)	Who/what is requesting service inv-dh-srr-03: At least reference or display or a valid identifier shall be present
performerType	S	0..1	CodeableConcept	Performer role Binding: Practitioner Role (preferred)
performer	SC	0..*	Reference(ADHA Core PractitionerRole | ADHA Core Organization | CareTeam | ADHA Core HealthcareService | ADHA Core Patient | ADHA Core RelatedPerson)	Requested performer
reasonCode	S	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
reasonReference	S	0..*	Reference(ADHA Core Condition | ADHA Core Observation | ADHA Core DiagnosticReport | ADHA Core DocumentReference)	Explanation/Justification for service or service
supportingInfo	S	0..*	Reference(Resource)	Additional clinical information
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.category	example	ServiceType https://healthterminologies.gov.au/fhir/ValueSet/service-type-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.code	preferred	Procedure https://healthterminologies.gov.au/fhir/ValueSet/procedure-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.performerType	preferred	PractitionerRole https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-srr-01	error	ServiceRequest	If present, a performer shall at least have a reference or display or a valid identifier : performer.exists() implies performer.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists())
inv-dh-srr-02	error	ServiceRequest.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-srr-03	error	ServiceRequest.requester	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management prr-1: orderDetail SHALL only be present if code is present inv-dh-srr-01: If present, a performer shall at least have a reference or display or a valid identifier
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	0..*	Identifier	Identifiers assigned to this order ele-1: All FHIR elements must have a @value or children
basedOn	SΣ	0..*	Reference(ADHA Core MedicationRequest | ADHA Core ServiceRequest)	What request fulfills ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
category	SΣ	0..*	CodeableConcept	Classification of service Binding: Service Type (example) ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: Procedure (preferred) ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(ADHA Core Patient)	Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children inv-dh-srr-02: At least reference or a valid identifier shall be present
encounter	SΣ	0..1	Reference(ADHA Core Encounter)	Encounter in which the request was created ele-1: All FHIR elements must have a @value or children
authoredOn	SΣ	0..1	dateTime	Date request signed ele-1: All FHIR elements must have a @value or children
requester	SΣC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA System Device)	Who/what is requesting service ele-1: All FHIR elements must have a @value or children inv-dh-srr-03: At least reference or display or a valid identifier shall be present
performerType	SΣ	0..1	CodeableConcept	Performer role Binding: Practitioner Role (preferred) ele-1: All FHIR elements must have a @value or children
performer	SΣC	0..*	Reference(ADHA Core PractitionerRole | ADHA Core Organization | CareTeam | ADHA Core HealthcareService | ADHA Core Patient | ADHA Core RelatedPerson)	Requested performer ele-1: All FHIR elements must have a @value or children
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Reason for Request (preferred) ele-1: All FHIR elements must have a @value or children
reasonReference	SΣ	0..*	Reference(ADHA Core Condition | ADHA Core Observation | ADHA Core DiagnosticReport | ADHA Core DocumentReference)	Explanation/Justification for service or service ele-1: All FHIR elements must have a @value or children
supportingInfo	S	0..*	Reference(Resource)	Additional clinical information ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceType https://healthterminologies.gov.au/fhir/ValueSet/service-type-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.code	preferred	Procedure https://healthterminologies.gov.au/fhir/ValueSet/procedure-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.performerType	preferred	PractitionerRole https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-srr-01	error	ServiceRequest	If present, a performer shall at least have a reference or display or a valid identifier : performer.exists() implies performer.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists())
inv-dh-srr-02	error	ServiceRequest.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-srr-03	error	ServiceRequest.requester	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present inv-dh-srr-01: If present, a performer shall at least have a reference or display or a valid identifier
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	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	SΣ	0..*	Reference(ADHA Core MedicationRequest | ADHA Core ServiceRequest)	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	SΣ	0..*	CodeableConcept	Classification of service Binding: Service Type (example)
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: Procedure (preferred)
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	SΣC	1..1	Reference(ADHA Core Patient)	Individual or Entity the service is ordered for inv-dh-srr-02: At least reference or a valid identifier shall be present
encounter	SΣ	0..1	Reference(ADHA Core 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	SΣ	0..1	dateTime	Date request signed
requester	SΣC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA System Device)	Who/what is requesting service inv-dh-srr-03: At least reference or display or a valid identifier shall be present
performerType	SΣ	0..1	CodeableConcept	Performer role Binding: Practitioner Role (preferred)
performer	SΣC	0..*	Reference(ADHA Core PractitionerRole | ADHA Core Organization | CareTeam | ADHA Core HealthcareService | ADHA Core Patient | ADHA Core 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	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
reasonReference	SΣ	0..*	Reference(ADHA Core Condition | ADHA Core Observation | ADHA Core DiagnosticReport | ADHA Core DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo	S	0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceType https://healthterminologies.gov.au/fhir/ValueSet/service-type-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	preferred	Procedure https://healthterminologies.gov.au/fhir/ValueSet/procedure-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.performerType	preferred	PractitionerRole https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-srr-01	error	ServiceRequest	If present, a performer shall at least have a reference or display or a valid identifier : performer.exists() implies performer.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists())
inv-dh-srr-02	error	ServiceRequest.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-srr-03	error	ServiceRequest.requester	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()

Differential View

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed inv-dh-srr-01: If present, a performer shall at least have a reference or display or a valid identifier
identifier	S	0..*	Identifier	Identifiers assigned to this order
basedOn	S	0..*	Reference(ADHA Core MedicationRequest | ADHA Core ServiceRequest)	What request fulfills
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
category	S	0..*	CodeableConcept	Classification of service Binding: Service Type (example)
code	S	1..1	CodeableConcept	What is being requested/ordered Binding: Procedure (preferred)
subject	SC	1..1	Reference(ADHA Core Patient)	Individual or Entity the service is ordered for inv-dh-srr-02: At least reference or a valid identifier shall be present
encounter	S	0..1	Reference(ADHA Core Encounter)	Encounter in which the request was created
authoredOn	S	0..1	dateTime	Date request signed
requester	SC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA System Device)	Who/what is requesting service inv-dh-srr-03: At least reference or display or a valid identifier shall be present
performerType	S	0..1	CodeableConcept	Performer role Binding: Practitioner Role (preferred)
performer	SC	0..*	Reference(ADHA Core PractitionerRole | ADHA Core Organization | CareTeam | ADHA Core HealthcareService | ADHA Core Patient | ADHA Core RelatedPerson)	Requested performer
reasonCode	S	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
reasonReference	S	0..*	Reference(ADHA Core Condition | ADHA Core Observation | ADHA Core DiagnosticReport | ADHA Core DocumentReference)	Explanation/Justification for service or service
supportingInfo	S	0..*	Reference(Resource)	Additional clinical information
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.category	example	ServiceType https://healthterminologies.gov.au/fhir/ValueSet/service-type-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.code	preferred	Procedure https://healthterminologies.gov.au/fhir/ValueSet/procedure-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.performerType	preferred	PractitionerRole https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-srr-01	error	ServiceRequest	If present, a performer shall at least have a reference or display or a valid identifier : performer.exists() implies performer.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists())
inv-dh-srr-02	error	ServiceRequest.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-srr-03	error	ServiceRequest.requester	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management prr-1: orderDetail SHALL only be present if code is present inv-dh-srr-01: If present, a performer shall at least have a reference or display or a valid identifier
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	0..*	Identifier	Identifiers assigned to this order ele-1: All FHIR elements must have a @value or children
basedOn	SΣ	0..*	Reference(ADHA Core MedicationRequest | ADHA Core ServiceRequest)	What request fulfills ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
category	SΣ	0..*	CodeableConcept	Classification of service Binding: Service Type (example) ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: Procedure (preferred) ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(ADHA Core Patient)	Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children inv-dh-srr-02: At least reference or a valid identifier shall be present
encounter	SΣ	0..1	Reference(ADHA Core Encounter)	Encounter in which the request was created ele-1: All FHIR elements must have a @value or children
authoredOn	SΣ	0..1	dateTime	Date request signed ele-1: All FHIR elements must have a @value or children
requester	SΣC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA System Device)	Who/what is requesting service ele-1: All FHIR elements must have a @value or children inv-dh-srr-03: At least reference or display or a valid identifier shall be present
performerType	SΣ	0..1	CodeableConcept	Performer role Binding: Practitioner Role (preferred) ele-1: All FHIR elements must have a @value or children
performer	SΣC	0..*	Reference(ADHA Core PractitionerRole | ADHA Core Organization | CareTeam | ADHA Core HealthcareService | ADHA Core Patient | ADHA Core RelatedPerson)	Requested performer ele-1: All FHIR elements must have a @value or children
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Reason for Request (preferred) ele-1: All FHIR elements must have a @value or children
reasonReference	SΣ	0..*	Reference(ADHA Core Condition | ADHA Core Observation | ADHA Core DiagnosticReport | ADHA Core DocumentReference)	Explanation/Justification for service or service ele-1: All FHIR elements must have a @value or children
supportingInfo	S	0..*	Reference(Resource)	Additional clinical information ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceType https://healthterminologies.gov.au/fhir/ValueSet/service-type-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.code	preferred	Procedure https://healthterminologies.gov.au/fhir/ValueSet/procedure-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.performerType	preferred	PractitionerRole https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-srr-01	error	ServiceRequest	If present, a performer shall at least have a reference or display or a valid identifier : performer.exists() implies performer.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists())
inv-dh-srr-02	error	ServiceRequest.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-srr-03	error	ServiceRequest.requester	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present inv-dh-srr-01: If present, a performer shall at least have a reference or display or a valid identifier
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	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	SΣ	0..*	Reference(ADHA Core MedicationRequest | ADHA Core ServiceRequest)	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	SΣ	0..*	CodeableConcept	Classification of service Binding: Service Type (example)
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: Procedure (preferred)
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	SΣC	1..1	Reference(ADHA Core Patient)	Individual or Entity the service is ordered for inv-dh-srr-02: At least reference or a valid identifier shall be present
encounter	SΣ	0..1	Reference(ADHA Core 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	SΣ	0..1	dateTime	Date request signed
requester	SΣC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA System Device)	Who/what is requesting service inv-dh-srr-03: At least reference or display or a valid identifier shall be present
performerType	SΣ	0..1	CodeableConcept	Performer role Binding: Practitioner Role (preferred)
performer	SΣC	0..*	Reference(ADHA Core PractitionerRole | ADHA Core Organization | CareTeam | ADHA Core HealthcareService | ADHA Core Patient | ADHA Core 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	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
reasonReference	SΣ	0..*	Reference(ADHA Core Condition | ADHA Core Observation | ADHA Core DiagnosticReport | ADHA Core DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo	S	0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceType https://healthterminologies.gov.au/fhir/ValueSet/service-type-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	preferred	Procedure https://healthterminologies.gov.au/fhir/ValueSet/procedure-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.performerType	preferred	PractitionerRole https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-srr-01	error	ServiceRequest	If present, a performer shall at least have a reference or display or a valid identifier : performer.exists() implies performer.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists())
inv-dh-srr-02	error	ServiceRequest.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-srr-03	error	ServiceRequest.requester	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()

This structure is derived from ServiceRequest

Summary

Mandatory: 3 elements
Must-Support: 15 elements

Structures

This structure refers to these other structures:

• ADHA Core MedicationRequest (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medicationrequest-core-1)
• ADHA Core ServiceRequest (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-servicerequest-core-1)
• ADHA Core Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1)
• ADHA Core Encounter (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-encounter-core-1)
• ADHA Authoring PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-author-1)
• ADHA Core Organization (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-organization-core-1)
• ADHA Authoring RelatedPerson (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-relatedperson-author-1)
• ADHA System Device (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-system-1)
• ADHA Core PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-core-1)
• ADHA Core HealthcareService (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-healthcareservice-core-1)
• ADHA Core RelatedPerson (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-relatedperson-core-1)
• ADHA Core Condition (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-condition-core-1)
• ADHA Core Observation (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-core-1)
• ADHA Core DiagnosticReport (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-diagnosticreport-core-1)
• ADHA Core DocumentReference (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-documentreference-core-1)

Below is an overview of the mandatory and optional search parameters. FHIR search operations and the syntax used to describe the interactions is described here.