| Left: | US Core ServiceRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest) |
| Right: | US Core ServiceRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest) |
| Error | StructureDefinition.version | Values for version differ: '7.0.0' vs '10.0.0-ballot' |
| Information | StructureDefinition.date | Values for date differ: '2023-10-17' vs '2025-04-28' |
| Information | ServiceRequest.language | Example/preferred bindings differ at ServiceRequest.language using binding from USCoreServiceRequestProfile |
| Information | StructureDefinition.short | Values for short differ: 'Identifiers assigned to this order' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Identifiers assigned to this order instance' |
| Information | StructureDefinition.comment | Values for comment differ: 'The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.' vs 'A business identifier such as an accession number originates with the order and can be used to locate the corresponding report and imaging study.' |
| Information | StructureDefinition.comment | Values for comment differ: 'The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](event.html) for general discussion) or using the [Task](task.html) resource.' vs 'The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](http://hl7.org/fhir/R4/event.html) for general discussion) or using the [Task](http://hl7.org/fhir/R4/task.html) resource.' |
| Error | ServiceRequest.subject | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-location], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-location], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-device]]) |
| Error | ServiceRequest.encounter | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter]]) |
| Error | ServiceRequest.requester | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-device]]) |
| Information | StructureDefinition.comment | Values for comment differ: 'This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html).' vs 'This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](http://hl7.org/fhir/R4/servicerequest-example-di.html).' |
| Information | StructureDefinition.comment | Values for comment differ: 'This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to *Observation* or *Condition* should be used if available. Otherwise when referencing *DiagnosticReport* it should contain a finding in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html).' vs 'This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to *Observation* or *Condition* should be used if available. Otherwise when referencing *DiagnosticReport* it should contain a finding in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](http://hl7.org/fhir/R4/servicerequest-example-di.html).' |
| Information | StructureDefinition.comment | Values for comment differ: 'Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the [Specimen](specimen.html) resource points to the ServiceRequest.' vs 'Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the [Specimen](http://hl7.org/fhir/R4/specimen.html) resource points to the ServiceRequest.' |
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/ServiceRequest | ||
| copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
| |
| date | 2023-10-17 | 2025-04-28 |
|
| description | The US Core ServiceRequest Profile inherits from the FHIR [ServiceRequest](https://hl7.org/fhir/R4/servicerequest.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for recording, searching, and fetching the ServiceRequest information. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. | ||
| experimental | |||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCoreServiceRequestProfile | ||
| publisher | HL7 International / Cross-Group Projects | ||
| purpose | |||
| status | active | ||
| title | US Core ServiceRequest Profile | ||
| type | ServiceRequest | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest | ||
| version | 7.0.0 | 10.0.0-ballot |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed | C | 0..* | ServiceRequest | A request for a service to be performed | |||||||||
 id | 0..1 | id | Logical id of this artifact | 0..1 | id | Logical id of this artifact | |||||||||||
| meta | 0..1 | Meta | Metadata about the resource | 0..1 | Meta | Metadata about the resource | |||||||||||
| implicitRules | 0..1 | uri | A set of rules under which this content was created | 0..1 | uri | A set of rules under which this content was created | |||||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
|
| ||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | 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 | 0..* | Resource | Contained, inline Resources | |||||||||||
 extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
 modifierExtension | 0..* | Extension | Extensions that cannot be ignored | 0..* | Extension | Extensions that cannot be ignored | |||||||||||
| identifier | 0..* | Identifier | Identifiers assigned to this order | 0..* | Identifier | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Identifiers assigned to this order instance | |||||||||||
| instantiatesCanonical | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||||||||
| instantiatesUri | 0..* | uri | Instantiates external protocol or definition | 0..* | uri | Instantiates external protocol or definition | |||||||||||
| basedOn | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | |||||||||||
| replaces | 0..* | Reference(ServiceRequest) | What request replaces | 0..* | Reference(ServiceRequest) | What request replaces | |||||||||||
| requisition | 0..1 | Identifier | Composite Request ID | 0..1 | Identifier | Composite Request ID | |||||||||||
| status | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of a service order. | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of a service order. | |||||||||||
| intent | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of service request. | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of service request. | |||||||||||
| Slices for category | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ?? (example): Classification of the requested service. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ?? (example): Classification of the requested service. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| priority | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | |||||||||||
| doNotPerform | 0..1 | boolean | True if service/procedure should not be performed | 0..1 | boolean | True if service/procedure should not be performed | |||||||||||
| code | 1..1 | CodeableConcept | What is being requested/ordered Binding: ?? (extensible) | 1..1 | CodeableConcept | What is being requested/ordered Binding: ?? (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 |
| |||||||||||||
| coding | 0..* | Coding | Code defined by a terminology system |
| |||||||||||||
| text | 0..1 | string | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: The name of the test, procedure, or service to be performed. |
| |||||||||||||
| orderDetail | C | 0..* | CodeableConcept | Additional order information Binding: ?? (example): Codified order entry details which are based on order context. | C | 0..* | CodeableConcept | Additional order information Binding: ?? (example): Codified order entry details which are based on order context. | |||||||||
| quantity[x] | 0..1 | Quantity, Ratio, Range | Service amount | 0..1 | Quantity, Ratio, Range | Service amount | |||||||||||
| subject | 1..1 | Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | Group | http://hl7.org/fhir/us/core/StructureDefinition/us-core-location | Device) | Individual or Entity the service is ordered for | 1..1 | Reference(US Core Patient Profile | Group | US Core Location Profile | US Core Device Profile) | Individual or Entity the service is ordered for |
| ||||||||||
| encounter | 0..1 | Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter) | Encounter in which the request was created | 0..1 | Reference(US Core Encounter Profile) | Encounter in which the request was created |
| ||||||||||
| occurrence[x] | 0..1 | Period , dateTime, Timing | When service should occur | 0..1 | Period , dateTime, Timing | When service should occur | |||||||||||
| asNeeded[x] | 0..1 | boolean, CodeableConcept | Preconditions for service Binding: ?? (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | 0..1 | boolean, CodeableConcept | Preconditions for service Binding: ?? (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | |||||||||||
| authoredOn | 0..1 | dateTime | Date request signed | 0..1 | dateTime | Date request signed | |||||||||||
| requester | 0..1 | Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner | http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | PractitionerRole | http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson | Device) | Who/what is requesting service | 0..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile | US Core Device Profile) | Who/what is requesting service |
| ||||||||||
| performerType | 0..1 | CodeableConcept | Performer role Binding: ?? (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | 0..1 | CodeableConcept | Performer role Binding: ?? (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | |||||||||||
| performer | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | |||||||||||
| locationCode | 0..* | CodeableConcept | Requested location Binding: ?? (example): A location type where services are delivered. | 0..* | CodeableConcept | Requested location Binding: ?? (example): A location type where services are delivered. | |||||||||||
| locationReference | 0..* | Reference(Location) | Requested location | 0..* | Reference(Location) | Requested location | |||||||||||
| reasonCode | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: ?? (extensible) | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: ?? (extensible) | |||||||||||
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service | |||||||||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||||||
| supportingInfo | 0..* | Reference(Resource) | Additional clinical information | 0..* | Reference(Resource) | Additional clinical information | |||||||||||
| specimen | 0..* | Reference(Specimen) | Procedure Samples | 0..* | Reference(Specimen) | Procedure Samples | |||||||||||
| bodySite | 0..* | CodeableConcept | Location on Body Binding: ?? (example): Codes describing anatomical locations. May include laterality. | 0..* | CodeableConcept | Location on Body Binding: ?? (example): Codes describing anatomical locations. May include laterality. | |||||||||||
| note | 0..* | Annotation | Comments | 0..* | Annotation | Comments | |||||||||||
| patientInstruction | 0..1 | string | Patient or consumer-oriented instructions | 0..1 | string | Patient or consumer-oriented instructions | |||||||||||
| relevantHistory | 0..* | Reference(Provenance) | Request provenance | 0..* | Reference(Provenance) | Request provenance | |||||||||||
| Documentation for this format | |||||||||||||||||