Da Vinci - Coverage Requirements Discovery
2.2.0-snapshot - STU 2.2 Peer Review

Da Vinci - Coverage Requirements Discovery, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0-snapshot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions

## Resource Profile: CRD Service Request

Official URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-servicerequest | Version: 2.2.0-snapshot | Highlight text changes?
Standards status: Trial-use Active as of 2026-02-19 | Maturity Level: 4 | Computable Name: CRDServiceRequest
Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.42.16

This profile specifies constraints on the ServiceRequest resource to support coverage requirements discovery.

### Usage

CRD Clients SHALL use the CRD ServiceRequest profile to resolve references to ServiceRequest resources passed to CRD Servers (e.g. `selections` context references) and to populate `draftOrders` context objects when invoking the following CDS Hooks: §prof-11

- order-select
- order-sign
- order-dispatch

!

Information provided in Must Support elements will commonly be required for CRD Servers to perform coverage requirements discovery.

Usages:

- Use this Profile: CRD CDSHooks Additional Orders Response (Logical Definition), CRD CDSHooks Alternate Request Response (Logical Definition), CRD CDSHooks Coverage Information Response (Logical Definition) and CRD Bundle of Request Resources
- Refer to this Profile: Coverage Information, CRD Appointment with Order, CRD Encounter, CRD Medication Request... Show 2 more, CRD Service Request and CRD Dispatch Task
- CapabilityStatements using this Profile: CRD Client USCDI 1, CRD Client USCDI 3 and CRD Client USCDI 4

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | USCoreServiceRequestProfile(7.0.0) | A request for a service to be performed This profile also complies with the profile US Core ServiceRequest Profile (6.1.0) Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained | S | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:Coverage-Information | S C | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Identifiers assigned to this order
basedOn | S Σ | 0..* | Reference(CRD Service Request | CRD Medication Request) | What request fulfills
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Example General: draft
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | S Σ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:us-core | S Σ | 0..* | CodeableConcept | Classification of service Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
category:encounterType | S Σ | 0..1 | CodeableConcept | inpatient, outpatient, etc. Binding: ActEncounterCode (3.0.0) (required)
category:serviceType | S Σ | 0..1 | CodeableConcept | X-ray, Lab, consulation, surgical, etc. Binding: X12 Service Type (required)
doNotPerform | ?!S Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service
Slices for extension |  |  |  | Content/Rules for all slices
extension:BillingOptions | S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
quantity[x] | S Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | S Σ | 1..1 | Reference(CRD Patient) | Individual or Entity the service is ordered for
encounter | S Σ | 0..1 | Reference(CRD Encounter) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrencePeriod |  |  | Period S |
occurrenceDateTime |  |  | dateTime |
occurrenceTiming |  |  | Timing S(CRDTiming) |
authoredOn | S Σ | 1..1 | dateTime | Date request signed
requester | S Σ | 1..1 | Reference(CRD Practitioner S | HRex PractitionerRole Profile S) | Who/what is requesting service
performerType | S Σ | 0..1 | CodeableConcept | Performer role Binding: NUCC Healthcare Provider Taxonomy Individual or Groups (extensible)
Slices for extension |  |  |  | Content/Rules for all slices
extension:codeOptions | S | 0..1 | canonical(ValueSet) | Url of a value set of activities URL: http://hl7.org/fhir/StructureDefinition/codeOptions
performer | S Σ | 0..* | Reference(CRD Practitioner S | HRex PractitionerRole Profile S | HRex Organization Profile S) | Requested performer
locationCode | S Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:cms | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: CMS Location Codes Value Set (required)
coding:nubc | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: NUBC Type of Bill (required)
coding:nucc | S Σ | 0..* | Coding | Code defined by a terminology system Binding: NUCC Healthcare Provider Taxonomy Non-Individual (required)
locationReference | S Σ | 0..1 | Reference(CRD Location) | Requested location
reasonCode | S Σ | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: USCoreConditionCodes (7.0.0) (extensible)
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ICD10 | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: ICD10CM Disease codes (required)
reasonReference | S Σ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service
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 | 📍7.0.0 | US Core v7.0
ServiceRequest.category:encounterType | Base | required | ActEncounterCode | 📍3.0.0 | THO v7.0
ServiceRequest.category:serviceType | Base | required | X12 Service Type | 📦2.2.0-snapshot | This IG
ServiceRequest.code | Base | extensible | CRD Service Request Codes Value Set | 📦2.2.0-snapshot | This IG
ServiceRequest.performerType | Base | extensible | NUCC Healthcare Provider Taxonomy Individual or Groups | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.0
ServiceRequest.locationCode.​coding:cms | Base | required | CMS Location Codes Value Set | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode.​coding:nubc | Base | required | NUBC Type of Bill | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode.​coding:nucc | Base | required | NUCC Healthcare Provider Taxonomy Non-Individual | 📦2.2.0-snapshot | This IG
ServiceRequest.reasonCode | Base | extensible | US Core Condition Codes | 📍7.0.0 | US Core v7.0
ServiceRequest.reasonCode.​coding:ICD10 | Base | required | ICD10CM Disease codes | 📦2.2.0-snapshot | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
crd-ci-q1 | error | ServiceRequest.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists | `extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()`
crd-ci-q2 | error | ServiceRequest.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. | `extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()`
crd-ci-q3 | error | ServiceRequest.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. | `extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()`
crd-ci-q4 | error | ServiceRequest.extension:Coverage-Information | If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' cannot be 'withpa'. | `extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')`
crd-ci-q5 | error | ServiceRequest.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. | `extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()`
crd-ci-q6 | error | ServiceRequest.extension:Coverage-Information | If 'info-needed' is OTH, then reason must be specified | `extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()`
crd-ci-q7 | error | ServiceRequest.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present | `extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')`
crd-ci-q8 | error | ServiceRequest.extension:Coverage-Information | If doc-purpose is present with a value other than 'conditional', then reason must be present | `extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()`
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  |  | USCoreServiceRequestProfile(7.0.0) | This profile also complies with the profile US Core ServiceRequest Profile (6.1.0)
contained | S | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:Coverage-Information | S | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier | S | 0..* | Identifier | Identifiers assigned to this order
basedOn | S | 0..* | Reference(CRD Service Request | CRD Medication Request) | What request fulfills
status |  | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Example General: draft
Slices for category |  |  |  | Content/Rules for all slices
category:encounterType | S | 0..1 | CodeableConcept | inpatient, outpatient, etc. Binding: ActEncounterCode (3.0.0) (required)
category:serviceType | S | 0..1 | CodeableConcept | X-ray, Lab, consulation, surgical, etc. Binding: X12 Service Type (required)
doNotPerform | S | 0..1 | boolean | True if service/procedure should not be performed
code |  | 1..1 | CodeableConcept | Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service
Slices for extension |  |  |  | Content/Rules for all slices
extension:BillingOptions | S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
quantity[x] | S | 0..1 | Quantity, Ratio, Range | Service amount
subject |  | 1..1 | Reference(CRD Patient) | Individual or Entity the service is ordered for
encounter |  | 0..1 | Reference(CRD Encounter) | Encounter in which the request was created
occurrence[x] |  | 0..1 |  | When service should occur
occurrencePeriod |  |  | Period |
occurrenceDateTime |  |  | dateTime |
occurrenceTiming |  |  | Timing(CRDTiming) |
authoredOn |  | 1..1 | dateTime | Date request signed
requester |  | 1..1 | Reference(CRD Practitioner | HRex PractitionerRole Profile) | Who/what is requesting service
performerType | S | 0..1 | CodeableConcept | Performer role Binding: NUCC Healthcare Provider Taxonomy Individual or Groups (extensible)
Slices for extension |  |  |  | Content/Rules for all slices
extension:codeOptions | S | 0..* | canonical(ValueSet) | Url of a value set of activities URL: http://hl7.org/fhir/StructureDefinition/codeOptions
performer | S | 0..* | Reference(CRD Practitioner S | HRex PractitionerRole Profile S | HRex Organization Profile S) | Requested performer
locationCode | S | 0..* | CodeableConcept | Requested location
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:cms | S | 0..1 | Coding | Code defined by a terminology system Binding: CMS Location Codes Value Set (required)
coding:nubc | S | 0..1 | Coding | Code defined by a terminology system Binding: NUBC Type of Bill (required)
coding:nucc | S | 0..* | Coding | Code defined by a terminology system Binding: NUCC Healthcare Provider Taxonomy Non-Individual (required)
locationReference | S | 0..1 | Reference(CRD Location) | Requested location
reasonCode | S | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ICD10 | S | 0..1 | Coding | Code defined by a terminology system Binding: ICD10CM Disease codes (required)
reasonReference | S | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.category:encounterType | Base | required | ActEncounterCode | 📍3.0.0 | THO v7.0
ServiceRequest.category:serviceType | Base | required | X12 Service Type | 📦2.2.0-snapshot | This IG
ServiceRequest.code | Base | extensible | CRD Service Request Codes Value Set | 📦2.2.0-snapshot | This IG
ServiceRequest.performerType | Base | extensible | NUCC Healthcare Provider Taxonomy Individual or Groups | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode.​coding:cms | Base | required | CMS Location Codes Value Set | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode.​coding:nubc | Base | required | NUBC Type of Bill | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode.​coding:nucc | Base | required | NUCC Healthcare Provider Taxonomy Non-Individual | 📦2.2.0-snapshot | This IG
ServiceRequest.reasonCode.​coding:ICD10 | Base | required | ICD10CM Disease codes | 📦2.2.0-snapshot | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | USCoreServiceRequestProfile(7.0.0) | A request for a service to be performed This profile also complies with the profile US Core ServiceRequest Profile (6.1.0) Constraints: prr-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained | S | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:Coverage-Information | S C | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S 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 | S Σ | 0..* | Reference(CRD Service Request | CRD Medication Request) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Example General: draft
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | S Σ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:us-core | S Σ | 0..* | CodeableConcept | Classification of service Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
category:encounterType | S Σ | 0..1 | CodeableConcept | inpatient, outpatient, etc. Binding: ActEncounterCode (3.0.0) (required)
category:serviceType | S Σ | 0..1 | CodeableConcept | X-ray, Lab, consulation, surgical, etc. Binding: X12 Service Type (required)
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 | ?!S Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service
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:BillingOptions | S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | S Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | S Σ | 1..1 | Reference(CRD Patient) | Individual or Entity the service is ordered for
encounter | S Σ | 0..1 | Reference(CRD Encounter) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrencePeriod |  |  | Period S |
occurrenceDateTime |  |  | dateTime |
occurrenceTiming |  |  | Timing S(CRDTiming) |
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 | S Σ | 1..1 | dateTime | Date request signed
requester | S Σ | 1..1 | Reference(CRD Practitioner S | HRex PractitionerRole Profile S) | Who/what is requesting service
performerType | S Σ | 0..1 | CodeableConcept | Performer role Binding: NUCC Healthcare Provider Taxonomy Individual or Groups (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:codeOptions | S | 0..1 | canonical(ValueSet) | Url of a value set of activities URL: http://hl7.org/fhir/StructureDefinition/codeOptions
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
performer | S Σ | 0..* | Reference(CRD Practitioner S | HRex PractitionerRole Profile S | HRex Organization Profile S) | Requested performer
locationCode | S Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:cms | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: CMS Location Codes Value Set (required)
coding:nubc | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: NUBC Type of Bill (required)
coding:nucc | S Σ | 0..* | Coding | Code defined by a terminology system Binding: NUCC Healthcare Provider Taxonomy Non-Individual (required)
text | Σ | 0..1 | string | Plain text representation of the concept
locationReference | S Σ | 0..1 | Reference(CRD Location) | Requested location
reasonCode | S Σ | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: USCoreConditionCodes (7.0.0) (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ICD10 | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: ICD10CM Disease codes (required)
text | Σ | 0..1 | string | Plain text representation of the concept
reasonReference | S Σ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional clinical information
specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note |  | 0..* | Annotation | Comments
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

#### 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 | 📍7.0.0 | US Core v7.0
ServiceRequest.category:encounterType | Base | required | ActEncounterCode | 📍3.0.0 | THO v7.0
ServiceRequest.category:serviceType | Base | required | X12 Service Type | 📦2.2.0-snapshot | This IG
ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | extensible | CRD Service Request Codes Value Set | 📦2.2.0-snapshot | This IG
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 | extensible | NUCC Healthcare Provider Taxonomy Individual or Groups | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.0
ServiceRequest.locationCode.​coding:cms | Base | required | CMS Location Codes Value Set | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode.​coding:nubc | Base | required | NUBC Type of Bill | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode.​coding:nucc | Base | required | NUCC Healthcare Provider Taxonomy Non-Individual | 📦2.2.0-snapshot | This IG
ServiceRequest.reasonCode | Base | extensible | US Core Condition Codes | 📍7.0.0 | US Core v7.0
ServiceRequest.reasonCode.​coding:ICD10 | Base | required | ICD10CM Disease codes | 📦2.2.0-snapshot | This IG
ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
crd-ci-q1 | error | ServiceRequest.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists | `extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()`
crd-ci-q2 | error | ServiceRequest.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. | `extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()`
crd-ci-q3 | error | ServiceRequest.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. | `extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()`
crd-ci-q4 | error | ServiceRequest.extension:Coverage-Information | If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' cannot be 'withpa'. | `extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')`
crd-ci-q5 | error | ServiceRequest.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. | `extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()`
crd-ci-q6 | error | ServiceRequest.extension:Coverage-Information | If 'info-needed' is OTH, then reason must be specified | `extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()`
crd-ci-q7 | error | ServiceRequest.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present | `extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')`
crd-ci-q8 | error | ServiceRequest.extension:Coverage-Information | If doc-purpose is present with a value other than 'conditional', then reason must be present | `extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()`
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()`

Summary

Mandatory: 2 elements
Must-Support: 20 elements

Structures

This structure refers to these other structures:

- CRD Service Request (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-servicerequest)
- CRD Medication Request (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-medicationrequest)
- CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient)
- CRD Encounter (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter)
- CRD Timing Data Type (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-timing)
- CRD Practitioner (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-practitioner)
- HRex PractitionerRole Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-practitionerrole)
- HRex Organization Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-organization)
- CRD Location (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-location)
- US Core Condition Problems and Health Concerns Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|7.0.0)
- US Core Condition Encounter Diagnosis Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|7.0.0)
- US Core DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab|7.0.0)
- US Core DiagnosticReport Profile for Report and Note Exchange (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note|7.0.0)
- US Core DocumentReference Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|7.0.0)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options
- http://hl7.org/fhir/StructureDefinition/codeOptions

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of ServiceRequest.locationCode.coding
- The element 1 is sliced based on the value of ServiceRequest.reasonCode.coding

Maturity: 4

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | USCoreServiceRequestProfile(7.0.0) | A request for a service to be performed This profile also complies with the profile US Core ServiceRequest Profile (6.1.0) Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained | S | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:Coverage-Information | S C | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Identifiers assigned to this order
basedOn | S Σ | 0..* | Reference(CRD Service Request | CRD Medication Request) | What request fulfills
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Example General: draft
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | S Σ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:us-core | S Σ | 0..* | CodeableConcept | Classification of service Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
category:encounterType | S Σ | 0..1 | CodeableConcept | inpatient, outpatient, etc. Binding: ActEncounterCode (3.0.0) (required)
category:serviceType | S Σ | 0..1 | CodeableConcept | X-ray, Lab, consulation, surgical, etc. Binding: X12 Service Type (required)
doNotPerform | ?!S Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service
Slices for extension |  |  |  | Content/Rules for all slices
extension:BillingOptions | S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
quantity[x] | S Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | S Σ | 1..1 | Reference(CRD Patient) | Individual or Entity the service is ordered for
encounter | S Σ | 0..1 | Reference(CRD Encounter) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrencePeriod |  |  | Period S |
occurrenceDateTime |  |  | dateTime |
occurrenceTiming |  |  | Timing S(CRDTiming) |
authoredOn | S Σ | 1..1 | dateTime | Date request signed
requester | S Σ | 1..1 | Reference(CRD Practitioner S | HRex PractitionerRole Profile S) | Who/what is requesting service
performerType | S Σ | 0..1 | CodeableConcept | Performer role Binding: NUCC Healthcare Provider Taxonomy Individual or Groups (extensible)
Slices for extension |  |  |  | Content/Rules for all slices
extension:codeOptions | S | 0..1 | canonical(ValueSet) | Url of a value set of activities URL: http://hl7.org/fhir/StructureDefinition/codeOptions
performer | S Σ | 0..* | Reference(CRD Practitioner S | HRex PractitionerRole Profile S | HRex Organization Profile S) | Requested performer
locationCode | S Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:cms | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: CMS Location Codes Value Set (required)
coding:nubc | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: NUBC Type of Bill (required)
coding:nucc | S Σ | 0..* | Coding | Code defined by a terminology system Binding: NUCC Healthcare Provider Taxonomy Non-Individual (required)
locationReference | S Σ | 0..1 | Reference(CRD Location) | Requested location
reasonCode | S Σ | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: USCoreConditionCodes (7.0.0) (extensible)
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ICD10 | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: ICD10CM Disease codes (required)
reasonReference | S Σ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service
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 | 📍7.0.0 | US Core v7.0
ServiceRequest.category:encounterType | Base | required | ActEncounterCode | 📍3.0.0 | THO v7.0
ServiceRequest.category:serviceType | Base | required | X12 Service Type | 📦2.2.0-snapshot | This IG
ServiceRequest.code | Base | extensible | CRD Service Request Codes Value Set | 📦2.2.0-snapshot | This IG
ServiceRequest.performerType | Base | extensible | NUCC Healthcare Provider Taxonomy Individual or Groups | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.0
ServiceRequest.locationCode.​coding:cms | Base | required | CMS Location Codes Value Set | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode.​coding:nubc | Base | required | NUBC Type of Bill | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode.​coding:nucc | Base | required | NUCC Healthcare Provider Taxonomy Non-Individual | 📦2.2.0-snapshot | This IG
ServiceRequest.reasonCode | Base | extensible | US Core Condition Codes | 📍7.0.0 | US Core v7.0
ServiceRequest.reasonCode.​coding:ICD10 | Base | required | ICD10CM Disease codes | 📦2.2.0-snapshot | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
crd-ci-q1 | error | ServiceRequest.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists | `extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()`
crd-ci-q2 | error | ServiceRequest.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. | `extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()`
crd-ci-q3 | error | ServiceRequest.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. | `extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()`
crd-ci-q4 | error | ServiceRequest.extension:Coverage-Information | If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' cannot be 'withpa'. | `extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')`
crd-ci-q5 | error | ServiceRequest.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. | `extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()`
crd-ci-q6 | error | ServiceRequest.extension:Coverage-Information | If 'info-needed' is OTH, then reason must be specified | `extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()`
crd-ci-q7 | error | ServiceRequest.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present | `extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')`
crd-ci-q8 | error | ServiceRequest.extension:Coverage-Information | If doc-purpose is present with a value other than 'conditional', then reason must be present | `extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()`
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

Differential View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  |  | USCoreServiceRequestProfile(7.0.0) | This profile also complies with the profile US Core ServiceRequest Profile (6.1.0)
contained | S | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:Coverage-Information | S | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier | S | 0..* | Identifier | Identifiers assigned to this order
basedOn | S | 0..* | Reference(CRD Service Request | CRD Medication Request) | What request fulfills
status |  | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Example General: draft
Slices for category |  |  |  | Content/Rules for all slices
category:encounterType | S | 0..1 | CodeableConcept | inpatient, outpatient, etc. Binding: ActEncounterCode (3.0.0) (required)
category:serviceType | S | 0..1 | CodeableConcept | X-ray, Lab, consulation, surgical, etc. Binding: X12 Service Type (required)
doNotPerform | S | 0..1 | boolean | True if service/procedure should not be performed
code |  | 1..1 | CodeableConcept | Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service
Slices for extension |  |  |  | Content/Rules for all slices
extension:BillingOptions | S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
quantity[x] | S | 0..1 | Quantity, Ratio, Range | Service amount
subject |  | 1..1 | Reference(CRD Patient) | Individual or Entity the service is ordered for
encounter |  | 0..1 | Reference(CRD Encounter) | Encounter in which the request was created
occurrence[x] |  | 0..1 |  | When service should occur
occurrencePeriod |  |  | Period |
occurrenceDateTime |  |  | dateTime |
occurrenceTiming |  |  | Timing(CRDTiming) |
authoredOn |  | 1..1 | dateTime | Date request signed
requester |  | 1..1 | Reference(CRD Practitioner | HRex PractitionerRole Profile) | Who/what is requesting service
performerType | S | 0..1 | CodeableConcept | Performer role Binding: NUCC Healthcare Provider Taxonomy Individual or Groups (extensible)
Slices for extension |  |  |  | Content/Rules for all slices
extension:codeOptions | S | 0..* | canonical(ValueSet) | Url of a value set of activities URL: http://hl7.org/fhir/StructureDefinition/codeOptions
performer | S | 0..* | Reference(CRD Practitioner S | HRex PractitionerRole Profile S | HRex Organization Profile S) | Requested performer
locationCode | S | 0..* | CodeableConcept | Requested location
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:cms | S | 0..1 | Coding | Code defined by a terminology system Binding: CMS Location Codes Value Set (required)
coding:nubc | S | 0..1 | Coding | Code defined by a terminology system Binding: NUBC Type of Bill (required)
coding:nucc | S | 0..* | Coding | Code defined by a terminology system Binding: NUCC Healthcare Provider Taxonomy Non-Individual (required)
locationReference | S | 0..1 | Reference(CRD Location) | Requested location
reasonCode | S | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ICD10 | S | 0..1 | Coding | Code defined by a terminology system Binding: ICD10CM Disease codes (required)
reasonReference | S | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.category:encounterType | Base | required | ActEncounterCode | 📍3.0.0 | THO v7.0
ServiceRequest.category:serviceType | Base | required | X12 Service Type | 📦2.2.0-snapshot | This IG
ServiceRequest.code | Base | extensible | CRD Service Request Codes Value Set | 📦2.2.0-snapshot | This IG
ServiceRequest.performerType | Base | extensible | NUCC Healthcare Provider Taxonomy Individual or Groups | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode.​coding:cms | Base | required | CMS Location Codes Value Set | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode.​coding:nubc | Base | required | NUBC Type of Bill | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode.​coding:nucc | Base | required | NUCC Healthcare Provider Taxonomy Non-Individual | 📦2.2.0-snapshot | This IG
ServiceRequest.reasonCode.​coding:ICD10 | Base | required | ICD10CM Disease codes | 📦2.2.0-snapshot | This IG

Snapshot ViewView

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | USCoreServiceRequestProfile(7.0.0) | A request for a service to be performed This profile also complies with the profile US Core ServiceRequest Profile (6.1.0) Constraints: prr-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained | S | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:Coverage-Information | S C | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S 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 | S Σ | 0..* | Reference(CRD Service Request | CRD Medication Request) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Example General: draft
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | S Σ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:us-core | S Σ | 0..* | CodeableConcept | Classification of service Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
category:encounterType | S Σ | 0..1 | CodeableConcept | inpatient, outpatient, etc. Binding: ActEncounterCode (3.0.0) (required)
category:serviceType | S Σ | 0..1 | CodeableConcept | X-ray, Lab, consulation, surgical, etc. Binding: X12 Service Type (required)
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 | ?!S Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service
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:BillingOptions | S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | S Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | S Σ | 1..1 | Reference(CRD Patient) | Individual or Entity the service is ordered for
encounter | S Σ | 0..1 | Reference(CRD Encounter) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrencePeriod |  |  | Period S |
occurrenceDateTime |  |  | dateTime |
occurrenceTiming |  |  | Timing S(CRDTiming) |
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 | S Σ | 1..1 | dateTime | Date request signed
requester | S Σ | 1..1 | Reference(CRD Practitioner S | HRex PractitionerRole Profile S) | Who/what is requesting service
performerType | S Σ | 0..1 | CodeableConcept | Performer role Binding: NUCC Healthcare Provider Taxonomy Individual or Groups (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:codeOptions | S | 0..1 | canonical(ValueSet) | Url of a value set of activities URL: http://hl7.org/fhir/StructureDefinition/codeOptions
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
performer | S Σ | 0..* | Reference(CRD Practitioner S | HRex PractitionerRole Profile S | HRex Organization Profile S) | Requested performer
locationCode | S Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:cms | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: CMS Location Codes Value Set (required)
coding:nubc | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: NUBC Type of Bill (required)
coding:nucc | S Σ | 0..* | Coding | Code defined by a terminology system Binding: NUCC Healthcare Provider Taxonomy Non-Individual (required)
text | Σ | 0..1 | string | Plain text representation of the concept
locationReference | S Σ | 0..1 | Reference(CRD Location) | Requested location
reasonCode | S Σ | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: USCoreConditionCodes (7.0.0) (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ICD10 | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: ICD10CM Disease codes (required)
text | Σ | 0..1 | string | Plain text representation of the concept
reasonReference | S Σ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional clinical information
specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note |  | 0..* | Annotation | Comments
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

#### 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 | 📍7.0.0 | US Core v7.0
ServiceRequest.category:encounterType | Base | required | ActEncounterCode | 📍3.0.0 | THO v7.0
ServiceRequest.category:serviceType | Base | required | X12 Service Type | 📦2.2.0-snapshot | This IG
ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | extensible | CRD Service Request Codes Value Set | 📦2.2.0-snapshot | This IG
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 | extensible | NUCC Healthcare Provider Taxonomy Individual or Groups | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.0
ServiceRequest.locationCode.​coding:cms | Base | required | CMS Location Codes Value Set | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode.​coding:nubc | Base | required | NUBC Type of Bill | 📦2.2.0-snapshot | This IG
ServiceRequest.locationCode.​coding:nucc | Base | required | NUCC Healthcare Provider Taxonomy Non-Individual | 📦2.2.0-snapshot | This IG
ServiceRequest.reasonCode | Base | extensible | US Core Condition Codes | 📍7.0.0 | US Core v7.0
ServiceRequest.reasonCode.​coding:ICD10 | Base | required | ICD10CM Disease codes | 📦2.2.0-snapshot | This IG
ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
crd-ci-q1 | error | ServiceRequest.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists | `extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()`
crd-ci-q2 | error | ServiceRequest.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. | `extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()`
crd-ci-q3 | error | ServiceRequest.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. | `extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()`
crd-ci-q4 | error | ServiceRequest.extension:Coverage-Information | If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' cannot be 'withpa'. | `extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')`
crd-ci-q5 | error | ServiceRequest.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. | `extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()`
crd-ci-q6 | error | ServiceRequest.extension:Coverage-Information | If 'info-needed' is OTH, then reason must be specified | `extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()`
crd-ci-q7 | error | ServiceRequest.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present | `extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')`
crd-ci-q8 | error | ServiceRequest.extension:Coverage-Information | If doc-purpose is present with a value other than 'conditional', then reason must be present | `extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()`
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()`

Summary

Mandatory: 2 elements
Must-Support: 20 elements

Structures

This structure refers to these other structures:

- CRD Service Request (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-servicerequest)
- CRD Medication Request (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-medicationrequest)
- CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient)
- CRD Encounter (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter)
- CRD Timing Data Type (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-timing)
- CRD Practitioner (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-practitioner)
- HRex PractitionerRole Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-practitionerrole)
- HRex Organization Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-organization)
- CRD Location (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-location)
- US Core Condition Problems and Health Concerns Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|7.0.0)
- US Core Condition Encounter Diagnosis Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|7.0.0)
- US Core DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab|7.0.0)
- US Core DiagnosticReport Profile for Report and Note Exchange (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note|7.0.0)
- US Core DocumentReference Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|7.0.0)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options
- http://hl7.org/fhir/StructureDefinition/codeOptions

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of ServiceRequest.locationCode.coding
- The element 1 is sliced based on the value of ServiceRequest.reasonCode.coding

Maturity: 4

Other representations of profile: CSV, Excel, Schematron