US Quality Core Implementation Guide
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US Quality Core Implementation Guide, published by ASTP. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions

Resource Profile: US Quality Core Service Not Requested

Official URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested Version: 0.1.0
Active as of 2026-03-31 Computable Name: USQualityCoreServiceNotRequested

Negation profile of ServiceRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

Guidance

Reference Guidance for use of the Service Not Requested profile can be found here.

  • See the Social Determinants of Health (SDOH) Guidance Page for more information when exchanging Social Determinants of Health (SDOH) Service Requests.
  • The ServiceRequest.category binding must support at a minimum the US Core ServiceRequest Category Codes. However, this valueset can be treated as extensible and other category codes can be used instead.
  • The ServiceRequest.code.extension:notDoneValueSet valueset identifies a set of possible coded values representing activities that were not requested, ordered, or performed.
  • The ServiceRequest.subject is Must Support with Must Support reference to US Quality Core Patient

Usage

The ServiceRequest and ServiceNotRequested profiles represent the positive and negative statements for a service request.

See the patterns page for implementation and usage patterns.

Examples

Negation Example with valuesetService discontinued; indicates that none of the services in the given not done value set were requested.
Negation Example with codeService discontinued; indicates that the given service, by code, was not requested.

Both of these example instances meet measure intent for exclusion as defined in the following example CQL: 

define "Intermittent Pneumatic Compression Devices Not Ordered":
  ["ServiceNotRequested": "Application of intermittent pneumatic compression devices (IPC)"] DeviceNotOrdered
    where (DeviceNotOrdered.reasonRefused in "Medical Reason"
      or DeviceNotOrdered.reasonRefused in "Patient Refusal")
      and DeviceNotOrdered.status in { 'active', 'completed', 'on-hold' }

​For a more complete discussion of representation of negation within US Quality Core and quality improvement artifacts, see the Negation in US Quality Core topic.

USCDI+ Quality Elements:

  • status: (USCDI+ Quality) (USCDI) draft \| active \| on-hold \| revoked \| completed \| entered-in-error \| unknown
  • code: (USCDI+ Quality) (USCDI) What is being requested/ordered
  • authoredOn: (USCDI+ Quality) (USCDI) Date request signed
  • reasonCode: (USCDI+ Quality) (USCDI) Explanation/Justification for procedure or service
  • reasonReference: (USCDI+ Quality) (USCDI) Explanation/Justification for service or service

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
Constraints: prr-1, snr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reasonRefused 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... intent ?!SΣ 1..1 code (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... Slices for category SΣ 0..* CodeableConcept (USCDI) Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:us-core SΣ 0..* CodeableConcept (USCDI) Classification of service
Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... doNotPerform ?!Σ 1..1 boolean True if service/procedure should not be performed
Fixed Value: true
... code SΣ 1..1 CodeableConcept (USCDI+ Quality) (USCDI) What is being requested/ordered
Binding: US Core Procedure Codes (extensible)
.... Slices for extension Content/Rules for all slices
..... extension:notDoneValueSet C 0..1 canonical(ValueSet) What was not requested
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) Individual or Entity the service is ordered for
... occurrence[x] SΣ 0..1 (USCDI) When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period S
.... occurrenceTiming Timing
... authoredOn SΣ 1..1 dateTime (USCDI+ Quality) (USCDI) Date request signed
... requester SΣ 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core Patient | US Quality Core RelatedPerson | US Quality Core Device | US Core Implantable Device Profile) (USCDI)
... reasonCode Σ 0..* CodeableConcept (USCDI+ Quality) (USCDI) Explanation/Justification for procedure or service
Binding: US Core Condition Codes (extensible)
... reasonReference Σ 0..* Reference(US Quality Core Condition Encounter Diagnosis | US Quality Core Condition Problems Health Concerns) (USCDI+ Quality) (USCDI) Explanation/Justification for service or service

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📦4.0.1 FHIR Std.
ServiceRequest.category:us-core Base required US Core ServiceRequest Category Codes 📦6.1.0 US Core v6.1
ServiceRequest.code Base extensible US Core Procedure Codes 📦6.1.0 US Core v6.1
ServiceRequest.reasonCode Base extensible US Core Condition Codes 📦6.1.0 US Core v6.1

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()
snr-1 error ServiceRequest to indicate what service was not performed, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()

This structure is derived from USCoreServiceRequestProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
Constraints: snr-1
... Slices for extension Content/Rules for all slices
.... extension:reasonRefused 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
... status 1..1 code (USCDI+ Quality) (USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
... doNotPerform 1..1 boolean True if service/procedure should not be performed
Fixed Value: true
.... Slices for extension Content/Rules for all slices
..... extension:notDoneValueSet C 0..1 canonical(ValueSet) What was not requested
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
... subject 1..1 Reference(US Quality Core Patient) (USCDI) Individual or Entity the service is ordered for
... occurrence[x] 0..1 (USCDI) When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... authoredOn 1..1 dateTime (USCDI+ Quality) (USCDI) Date request signed
... requester 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core Patient | US Quality Core RelatedPerson | US Quality Core Device | US Core Implantable Device Profile) (USCDI)
... reasonCode 0..* CodeableConcept (USCDI+ Quality) (USCDI) Explanation/Justification for procedure or service
Binding: US Core Condition Codes (extensible)
... reasonReference Σ 0..* Reference(US Quality Core Condition Encounter Diagnosis | US Quality Core Condition Problems Health Concerns) (USCDI+ Quality) (USCDI) Explanation/Justification for service or service

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.reasonCode Base extensible US Core Condition Codes 📦6.1.0 US Core v6.1

Constraints

Id Grade Path(s) Description Expression
snr-1 error ServiceRequest to indicate what service was not performed, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
Constraints: prr-1, snr-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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reasonRefused 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
... 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 (USCDI+ Quality) (USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!SΣ 1..1 code (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... Slices for category SΣ 0..* CodeableConcept (USCDI) Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:us-core SΣ 0..* CodeableConcept (USCDI) Classification of service
Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... 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 1..1 boolean True if service/procedure should not be performed
Fixed Value: true
... code SΣ 1..1 CodeableConcept (USCDI+ Quality) (USCDI) What is being requested/ordered
Binding: US Core Procedure Codes (extensible)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:notDoneValueSet C 0..1 canonical(ValueSet) What was not requested
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... 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(US Quality Core Patient) (USCDI) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] SΣ 0..1 (USCDI) When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period S
.... 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 1..1 dateTime (USCDI+ Quality) (USCDI) Date request signed
... requester SΣ 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core Patient | US Quality Core RelatedPerson | US Quality Core Device | US Core Implantable Device Profile) (USCDI)
... 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 (USCDI+ Quality) (USCDI) Explanation/Justification for procedure or service
Binding: US Core Condition Codes (extensible)
... reasonReference Σ 0..* Reference(US Quality Core Condition Encounter Diagnosis | US Quality Core Condition Problems Health Concerns) (USCDI+ Quality) (USCDI) 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

doco 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.category:us-core Base required US Core ServiceRequest Category Codes 📦6.1.0 US Core v6.1
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base extensible US Core Procedure Codes 📦6.1.0 US Core v6.1
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📦4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📦4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v5.4
ServiceRequest.reasonCode Base extensible US Core Condition Codes 📦6.1.0 US Core v6.1
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()
snr-1 error ServiceRequest to indicate what service was not performed, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()

This structure is derived from USCoreServiceRequestProfile

Summary

Mandatory: 3 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
Constraints: prr-1, snr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reasonRefused 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... intent ?!SΣ 1..1 code (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... Slices for category SΣ 0..* CodeableConcept (USCDI) Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:us-core SΣ 0..* CodeableConcept (USCDI) Classification of service
Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... doNotPerform ?!Σ 1..1 boolean True if service/procedure should not be performed
Fixed Value: true
... code SΣ 1..1 CodeableConcept (USCDI+ Quality) (USCDI) What is being requested/ordered
Binding: US Core Procedure Codes (extensible)
.... Slices for extension Content/Rules for all slices
..... extension:notDoneValueSet C 0..1 canonical(ValueSet) What was not requested
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) Individual or Entity the service is ordered for
... occurrence[x] SΣ 0..1 (USCDI) When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period S
.... occurrenceTiming Timing
... authoredOn SΣ 1..1 dateTime (USCDI+ Quality) (USCDI) Date request signed
... requester SΣ 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core Patient | US Quality Core RelatedPerson | US Quality Core Device | US Core Implantable Device Profile) (USCDI)
... reasonCode Σ 0..* CodeableConcept (USCDI+ Quality) (USCDI) Explanation/Justification for procedure or service
Binding: US Core Condition Codes (extensible)
... reasonReference Σ 0..* Reference(US Quality Core Condition Encounter Diagnosis | US Quality Core Condition Problems Health Concerns) (USCDI+ Quality) (USCDI) Explanation/Justification for service or service

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📦4.0.1 FHIR Std.
ServiceRequest.category:us-core Base required US Core ServiceRequest Category Codes 📦6.1.0 US Core v6.1
ServiceRequest.code Base extensible US Core Procedure Codes 📦6.1.0 US Core v6.1
ServiceRequest.reasonCode Base extensible US Core Condition Codes 📦6.1.0 US Core v6.1

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()
snr-1 error ServiceRequest to indicate what service was not performed, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()

Differential View

This structure is derived from USCoreServiceRequestProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
Constraints: snr-1
... Slices for extension Content/Rules for all slices
.... extension:reasonRefused 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
... status 1..1 code (USCDI+ Quality) (USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
... doNotPerform 1..1 boolean True if service/procedure should not be performed
Fixed Value: true
.... Slices for extension Content/Rules for all slices
..... extension:notDoneValueSet C 0..1 canonical(ValueSet) What was not requested
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
... subject 1..1 Reference(US Quality Core Patient) (USCDI) Individual or Entity the service is ordered for
... occurrence[x] 0..1 (USCDI) When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... authoredOn 1..1 dateTime (USCDI+ Quality) (USCDI) Date request signed
... requester 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core Patient | US Quality Core RelatedPerson | US Quality Core Device | US Core Implantable Device Profile) (USCDI)
... reasonCode 0..* CodeableConcept (USCDI+ Quality) (USCDI) Explanation/Justification for procedure or service
Binding: US Core Condition Codes (extensible)
... reasonReference Σ 0..* Reference(US Quality Core Condition Encounter Diagnosis | US Quality Core Condition Problems Health Concerns) (USCDI+ Quality) (USCDI) Explanation/Justification for service or service

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.reasonCode Base extensible US Core Condition Codes 📦6.1.0 US Core v6.1

Constraints

Id Grade Path(s) Description Expression
snr-1 error ServiceRequest to indicate what service was not performed, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
Constraints: prr-1, snr-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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reasonRefused 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
... 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 (USCDI+ Quality) (USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!SΣ 1..1 code (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... Slices for category SΣ 0..* CodeableConcept (USCDI) Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:us-core SΣ 0..* CodeableConcept (USCDI) Classification of service
Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... 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 1..1 boolean True if service/procedure should not be performed
Fixed Value: true
... code SΣ 1..1 CodeableConcept (USCDI+ Quality) (USCDI) What is being requested/ordered
Binding: US Core Procedure Codes (extensible)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:notDoneValueSet C 0..1 canonical(ValueSet) What was not requested
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... 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(US Quality Core Patient) (USCDI) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] SΣ 0..1 (USCDI) When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period S
.... 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 1..1 dateTime (USCDI+ Quality) (USCDI) Date request signed
... requester SΣ 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core Patient | US Quality Core RelatedPerson | US Quality Core Device | US Core Implantable Device Profile) (USCDI)
... 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 (USCDI+ Quality) (USCDI) Explanation/Justification for procedure or service
Binding: US Core Condition Codes (extensible)
... reasonReference Σ 0..* Reference(US Quality Core Condition Encounter Diagnosis | US Quality Core Condition Problems Health Concerns) (USCDI+ Quality) (USCDI) 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

doco 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.category:us-core Base required US Core ServiceRequest Category Codes 📦6.1.0 US Core v6.1
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base extensible US Core Procedure Codes 📦6.1.0 US Core v6.1
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📦4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📦4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v5.4
ServiceRequest.reasonCode Base extensible US Core Condition Codes 📦6.1.0 US Core v6.1
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()
snr-1 error ServiceRequest to indicate what service was not performed, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()

This structure is derived from USCoreServiceRequestProfile

Summary

Mandatory: 3 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron